# JURATE PSYCHOTHERAPY AND CONSULTING INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487986071
- **Authorized official:** DR. LISA ANNE PETRONIS MA, LMFT PHD (PRESIDENT)
- **Authorized official phone:** (619) 787-2771

## Contact information

- **Practice address:** 9666 BUSINESSPARK AVE STE 101, SAN DIEGO, CA 92131-1646
- **Practice address phone:** (858) 566-2771
- **Practice address fax:** (858) 536-8201
- **Mailing address:** 9666 BUSINESSPARK AVE STE 101, SAN DIEGO, CA 92131-1646
- **Mailing address phone:** (858) 566-2771
- **Mailing address fax:** (858) 536-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC 41727 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2010
- **Last updated:** 02/05/2010