Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKIE BUSTAMANTE
Active Sole ProprietorMS. JACKIE BUSTAMANTE is a Marriage & Family Therapist healthcare provider located in BANNING, California. NPI 1174682009 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · BANNING, CA
Registration Details
- NPI Number
- 1174682009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2006 (19.663134735668 yrs)
- Last Updated
- Feb 22, 2026
- License
-
30317 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 W WILSON ST SPC 33BANNING, CA, 922203953Browse CA providers · Browse ZIP 92220
- Phone
- 8403363506
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in BANNING, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. YVONNE THOA TRAN | M.S, MFT | 1124128335 |
| JANETTA LYN PELTZ | MFT | 1649336389 |
| MS. TAMARRA TA'LAYA HICKS | MFT- INTERN | 1598949950 |
| ANGELICA CASTRO | LMFT | 1023328382 |
| MS. SHAWNTAY DENISE BLAKENEY | M.S., MFTI | 1881944965 |
| DESIREE MICHELLE GOTTFRIED | LMFT | 1053663930 |
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.