MS. JACKIE A PROVENCHER AMFT
NPI 1497397939
Marriage & Family Therapist in Long Beach, CA
About Ms. Jackie A Provencher Amft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACKIE A PROVENCHER AMFT (NPI 1497397939) is an individual marriage & family therapist in Long Beach, California, licensed in California (79380) and active in the NPI registry since October 2019.
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90803
LONG BEACH, CA 90803
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackie Provencher's NPI number?
The NPI number for Jackie Provencher is 1497397939. It was assigned to this individual provider in the NPPES registry on October 16, 2019.
Where is Jackie Provencher located?
Jackie Provencher practices at 2211 E Ocean Blvd, Long Beach, CA 90803. The listed phone number is (562) 434-4060.
What is Jackie Provencher's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
When was this NPI record last updated?
The NPPES record for Jackie Provencher was last updated on October 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
