Healthcare Provider Details

I. General information

NPI: 1114882362
Provider Name (Legal Business Name): PERCEPTUAL TRUTHS MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31273 DAVID LN
TEMECULA CA
92592-2817
US

IV. Provider business mailing address

41593 WINCHESTER RD STE 200
TEMECULA CA
92590-4857
US

V. Phone/Fax

Practice location:
  • Phone: 858-848-1034
  • Fax:
Mailing address:
  • Phone: 951-375-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JASMINE JACKSON
Title or Position: LMFT THERAPIST
Credential: LMFT
Phone: 678-739-1479