Healthcare Provider Details

I. General information

NPI: 1346161759
Provider Name (Legal Business Name): JESSICA CAPRA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8343 ELM AVE
SAN GABRIEL CA
91775-2465
US

IV. Provider business mailing address

8343 ELM AVE
SAN GABRIEL CA
91775-2465
US

V. Phone/Fax

Practice location:
  • Phone: 626-489-1606
  • Fax:
Mailing address:
  • Phone: 626-489-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152017
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: