Friend, Jackie Mae

Friend, Jackie Mae is an sole proprietor health care provider with primary practice located at 305 Evening Star Ln , Newport Beach CA 92660-5704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Friend, Jackie Mae can be contacted via phone (916) 768-1322.

Contact Information

Primary practice address
305 Evening Star Ln Newport Beach CA 92660-5704
Phone: (916) 768-1322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY36528 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT84404 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF71199 California

Profile Details

NPI number 1811231913
LBN Legal business name Friend, Jackie Mae
Credentials PSYD, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Mar 26th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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