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NPI Code Detail

MEDICARE: JESSELYN SOQUENA FERNANDEZ MS, LMFT, APCC

MEDICARE:   JESSELYN SOQUENA FERNANDEZ  MS, LMFT, APCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist160895CA

General Provider Information

NPI Number : 1932894052
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSELYN SOQUENA FERNANDEZ MS, LMFT, APCC
Provider Business Mailing Address
First Line : 2050 N TUSTIN ST # 1015
Second Line :
City : ORANGE
State : CA
Zip : 92865-3902
Country : US
Telephone Number : 951-288-9388
Fax Number :
Provider Business Practice Location Address
First Line : 2009 PALO VERDE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-3322
Country : US
Telephone Number : 562-794-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 01/13/2026

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Directions to “ JESSELYN SOQUENA FERNANDEZ MS, LMFT, APCC” Practice Location

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