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Ms. Jackie A Provencher, AMFT
Marriage & Family Therapist in Long Beach, California
NPI 1497397939

Jackie A Provencher is a Marriage & Family Therapist based in Long Beach, CA. Jackie A Provencher practices in Long Beach, CA and has the professional credentials of AMFT. The NPI Number for Jackie A Provencher is 1497397939 and holds a License No. 79380 (California).

The current practice location address for Jackie A Provencher is 2211 E Ocean Blvd, Long Beach, CA and can be reached out via phone at 562-434-4060.

Location: 2211 E Ocean Blvd, Long Beach, CA, 90815-3507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497397939
Provider Name
Jackie A Provencher
Credential
AMFT
Provider Entity Type
Individual
Gender
Female
Address
2211 E Ocean Blvd, Long Beach, CA, 90815-3507
Phone Number
562-434-4060
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79380 01 CA MARRIAGE AND FAMILY THERAPIST ASSOCIATE
institution
Provider Business Practice Location Address Details
Address
2211 E Ocean Blvd
City
Long Beach
State
California
Zip
90803-2440
Phone Number
562-434-4060
Fax Number
person
Provider Business Mailing Address Details
Address
2211 E Ocean Blvd
City
Long Beach
State
California
Zip
90803-2440
Phone Number
562-434-4060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
79380 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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