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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY LEE MANCARUSO

Active Sole Proprietor

JEFFREY LEE MANCARUSO is a Marriage & Family Therapist healthcare provider located in COVINA, California. NPI 1033414586 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · COVINA, CA

Registration Details

NPI Number
1033414586
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2011 (15.597540688997 yrs)
Last Updated
May 20, 2013
License
686969 (CA)
Sole Proprietor
Yes

Practice Information

Address
508-510 S SECOND AVE,
COVINA, CA, 91723
Browse CA providers · Browse ZIP 91723
Phone
6269748122
Fax
6269748198
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in COVINA, CA

Name Credential NPI
THOMAS MATTHEW VAN ANDEL 1194748723
MS. SHARON LYNNE STARR LMFT 1457368698
HARRY SHUSTER M.A. 1033227160
MR. DARRYL EUGENE BARTOLOTTI MFT 1164524906
MS. JEENIE NMN GORDON L.M.F.T. 1790882389
DAUREEN J SANFORD M.A., M.F.T. 1528159324
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.