Provider Demographics
NPI:1437469293
Name:DALY, JESSICA A (AMFT #148725)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:A
Last Name:DALY
Suffix:
Gender:F
Credentials:AMFT #148725
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2417
Mailing Address - Country:US
Mailing Address - Phone:760-741-1015
Mailing Address - Fax:760-747-7128
Practice Address - Street 1:1341 N ESCONDIDO BLVD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2507
Practice Address - Country:US
Practice Address - Phone:760-741-1015
Practice Address - Fax:760-747-7128
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148725101YM0800X
CA64509106H00000X
CA94918106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health