JEFFREY LEE MANCARUSO


Address: 508-510 S Second Ave, Covina, CA 91723
Phone: 6269748122

JEFFREY LEE MANCARUSO (NPI# 1033414586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033414586
Entity Type Individual
Full Name JEFFREY LEE MANCARUSO
Practice Address 508-510 S Second Ave
Covina
CA 91723
Practice Telephone 6269748122
Practice Fax Number 6269748198
Mailing Telephone 6269748122
Mailing Fax Number 6269748198
Enumeration Date 2011-01-13
Last Update Date 2013-05-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 686969 CA Behavioral Health & Social Service Providers

Office Location

Street Address 508-510 S SECOND AVE,
City COVINA
State CA
Zip Code 91723

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550593 Joshua Mercado Behavior Technician 210 N. Citrus Ave., Covina, CA 91723 2020-08-26
1578104790 Alda Shin Shin Behavioral Analyst 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 2019-09-30
1063074490 Julia De La Torre Student in an Organized Health Care Education/Training Program 540 S Eremland Drive, Covina, CA 91723 2019-07-05
1336639368 Counseling Solutions for Children and Families, Psychology Corporation Community/Behavioral Health 271 E Workman St Ste 101, Covina, CA 91723 2018-05-15
1669995916 Helen Wang Le Optometrist 554 E San Bernardino Rd Ste 102, Covina, CA 91723 2017-07-19
1992242879 Donovan Kouthiraj Behavior Technician 210 N Citrus Ave Ste A1, Covina, CA 91723 2017-01-30
1427406339 Robinson Baron Medical Clinic Surgery 274 W Badillo Street, Covina, CA 91723 2016-06-01
1306211123 Absolute Senior Care Services, Inc In Home Supportive Care 599 S Barranca Ave Ste 205, Covina, CA 91723 2015-12-04
1780061135 Mohan Ckd Clinic Internal Medicine 171 W Cottage St, Covina, CA 91723 2015-05-05
1992198915 Toshihisa Takei Otolaryngology 202 West College Street, Covina, CA 91723 2015-03-16
Find all providers in zip 91723

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326673914 Blu Alliance Counseling Center Marriage & Family Therapist 1109 W San Bernardino Rd Ste 150, Covina, CA 91722-4156 2020-03-04
1740759224 Diana Tuthill Hoover Marriage & Family Therapist 17829 E Benwood St, Covina, CA 91722-2613 2018-11-14
1467936674 Together Family Counseling Marriage & Family Therapist 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 2018-09-24
1083087191 Marie Antonette Petitti Marriage & Family Therapist 100 S Citrus Ave Ste 206, Covina, CA 91723-2686 2015-11-11
1962880005 Karen Allan Marriage & Family Therapist 416 E Badillo St, Covina, CA 91723-2213 2015-05-08
1760739056 Raylene Elaine Angulo Marriage & Family Therapist 271 E. Workman St, Suite 101, Covina, CA 91723 2012-08-06
1255564613 Chong Yu Marriage & Family Therapist 1274 East Center Court Drive, #112, Covina, CA 91724-3668 2009-09-01
1427269315 B&a Professional Servicces Marriage & Family Therapist 150 N. Grand Ave. Suite 212, Covina, CA 91790 2007-05-24
1861601148 Bradford Lee Durian Marriage & Family Therapist 1406 N Grand Ave Apt L, Covina, CA 91724-1060 2007-05-22
1154534212 Verna L Lewis Marriage & Family Therapist 420 South Grand Ave., Covina, CA 91724 2007-05-07
Find all providers in COVINA

Competitor

Search similar providers

City COVINA
Zip Code 91723

Improve Information

Please comment or provide details below to improve the information on JEFFREY LEE MANCARUSO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches