Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerrickson Daniel Ajex Palvannan

Individual provider Marriage & Family Therapist · NPI 1942703715

Jerrickson Daniel Ajex Palvannan is a Mental Health Counselor in Bakersfield, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

425 S H St
Bakersfield, CA 93304-3930
Phone: (661) 364-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC19831 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence AMFT127180 (CA)

Record details

NPI number1942703715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2018
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing addressPo Box 3483, Bakersfield, CA 93385-3483

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bakersfield