Provider Demographics
NPI:1861099509
Name:JESSICA ASKARI, LICENSED MARRIAGE & FAMILY THERAPIST INC.
Entity type:Organization
Organization Name:JESSICA ASKARI, LICENSED MARRIAGE & FAMILY THERAPIST INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-430-8425
Mailing Address - Street 1:8544 BURTON WAY APT 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3389
Mailing Address - Country:US
Mailing Address - Phone:818-430-8425
Mailing Address - Fax:
Practice Address - Street 1:2101 ROSECRANS AVE STE 3270
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4736
Practice Address - Country:US
Practice Address - Phone:818-430-8425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty