Jacielle Jeravey Acosta, LMFT
Marriage & Family Therapist in Pasadena, CA. Individual provider (NPI-1).
NPI number1215478144
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1215478144
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacielle Jeravey Acosta
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 122658 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 95829 | CA |
Practice location
2550 E Foothill BlvdPasadena, CA 91107-3406
Phone 626-744-5230
Mailing address
2550 E Foothill BlvdPasadena, CA 91107-3406
Phone 626-744-5230
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All 1,183 Marriage & Family Therapist providers in Pasadena · All 12,802 providers in Pasadena
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