Provider Demographics
NPI:1063181089
Name:WHITE, JESIKA SANCHEZ (LMFT, APCC)
Entity type:Individual
Prefix:
First Name:JESIKA
Middle Name:SANCHEZ
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25425 ORCHARD VILLAGE RD STE 270
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2958
Mailing Address - Country:US
Mailing Address - Phone:818-359-2218
Mailing Address - Fax:661-414-8047
Practice Address - Street 1:25425 ORCHARD VILLAGE RD STE 270
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2958
Practice Address - Country:US
Practice Address - Phone:818-359-2218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA151105106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program