Healthcare Provider Details

I. General information

NPI: 1215361613
Provider Name (Legal Business Name): JENNIFER AURORA YESSI M.A, AMFT128421
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 E WASHINGTON BLVD
PASADENA CA
91107-1448
US

IV. Provider business mailing address

6355 DE SOTO AVE APT B229
WOODLAND HILLS CA
91367-2636
US

V. Phone/Fax

Practice location:
  • Phone: 626-296-8900
  • Fax:
Mailing address:
  • Phone: 818-770-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT128421
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: