Provider Demographics
NPI:1386113595
Name:MCLAUGHLIN, JESSICA ROCHELLE (ASSOCIATE MFT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROCHELLE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:ASSOCIATE MFT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ROCHELLE
Other - Last Name:RATYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42673 OCOTILLO DR APT 2
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4361
Mailing Address - Country:US
Mailing Address - Phone:619-823-0888
Mailing Address - Fax:
Practice Address - Street 1:42673 OCOTILLO DR APT 2
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4361
Practice Address - Country:US
Practice Address - Phone:619-823-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist