Provider Demographics
NPI:1992098750
Name:ATEMAN, JESSICA AMANDA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:AMANDA
Last Name:ATEMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:AMANDA
Other - Last Name:HINOJOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1430 TRUXTUN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5220
Mailing Address - Country:US
Mailing Address - Phone:661-635-3050
Mailing Address - Fax:760-379-5332
Practice Address - Street 1:4371 LATHAM ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-1706
Practice Address - Country:US
Practice Address - Phone:833-867-4642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109607106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist