Provider Demographics
NPI:1750531836
Name:DELAY, JEANA M (LMFT 47567)
Entity type:Individual
Prefix:MISS
First Name:JEANA
Middle Name:M
Last Name:DELAY
Suffix:
Gender:F
Credentials:LMFT 47567
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:404 TORRANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3325
Mailing Address - Country:US
Mailing Address - Phone:310-985-2974
Mailing Address - Fax:310-414-2096
Practice Address - Street 1:404 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3325
Practice Address - Country:US
Practice Address - Phone:310-985-2974
Practice Address - Fax:310-414-2096
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist