MEDICARE: JEFFREY ADAMS WHITLOW L.M.F.T.

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	MFC24194	CA

General Provider Information

NPI Number	:	1336238302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY ADAMS WHITLOW L.M.F.T.

Provider Business Mailing Address
First Line	:	118 NEVADA ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2610
Country	:	US
Telephone Number	:	805-489-3327
Fax Number	:	805-473-6632

Provider Business Practice Location Address
First Line	:	118 NEVADA ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2610
Country	:	US
Telephone Number	:	805-489-3327
Fax Number	:	805-473-6632

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	04/26/2026

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