| Step By Step Family Therapy Professional Corporation | |
|
190 Sierra Ct Ste C4 Palmdale CA 93550-7609 | |
| (661) 463-0496 | |
| Not Available |
| Full Name | Step By Step Family Therapy Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 190 Sierra Ct Ste C4, Palmdale, California |
| Authorized Official Name and Position | Daisy De Jesus (CEO) |
| Authorized Official Contact | 8183880093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step By Step Family Therapy Professional Corporation 3533 Lariat Way Acton CA 93510-1244 Ph: (818) 388-0093 | Step By Step Family Therapy Professional Corporation 190 Sierra Ct Ste C4 Palmdale CA 93550-7609 Ph: (661) 463-0496 |
| NPI Number | 1053026625 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 9436675287 |
|---|---|
| Medicare Enrollment ID | O20250424003017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053026625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Daisy C Dejesus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275878159 PECOS PAC ID: 0345766192 Enrollment ID: I20250428001994 |
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