Provider Demographics
NPI:1770274888
Name:DE JESUS, JOCELYN SAYSON (AMFT)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:SAYSON
Last Name:DE JESUS
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 S CATALINA AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-5004
Mailing Address - Country:US
Mailing Address - Phone:909-450-1870
Mailing Address - Fax:
Practice Address - Street 1:320 S GARFIELD AVE STE 312
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-6842
Practice Address - Country:US
Practice Address - Phone:626-598-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT135790106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist