MEDICARE: MS. JENNIFER REBECCA MCKAY COUNSELOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	100106	CA

General Provider Information

NPI Number	:	1043520562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER REBECCA MCKAY COUNSELOR

Provider Business Mailing Address
First Line	:	PO BOX 866
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95077-0866
Country	:	US
Telephone Number	:	831-383-8924
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 SARGENT CT
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-3115
Country	:	US
Telephone Number	:	831-383-8924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	07/12/2024

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