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NPI Code Detail

MEDICARE: HANNAH FAITH NUSSBAUMER AMFT

MEDICARE: HANNAH FAITH NUSSBAUMER AMFT
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
1106H00000XMarriage & Family Therapist160584CA

General Provider Information

NPI Number : 1255184230
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH FAITH NUSSBAUMER AMFT
Provider Business Mailing Address
First Line : 2495 W MARCH LN STE 125
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8224
Country : US
Telephone Number : 209-320-7653
Fax Number : 209-465-2709
Provider Business Practice Location Address
First Line : 2495 W MARCH LN STE 125
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8224
Country : US
Telephone Number : 209-320-7653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2024
Last Update Date : 01/12/2026

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1912044785 — MR. EUGENE F. MARCELO BS
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1013054691 — MRS. DEBORAH SCOTT
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Directions to “ HANNAH FAITH NUSSBAUMER AMFT” Practice Location

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