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NPI Code Detail

MEDICARE: MS. JENNIFER ANNE MOENTMANN LMFT

MEDICARE:  MS. JENNIFER ANNE MOENTMANN  LMFT
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 Therapist33360CA

General Provider Information

NPI Number : 1346875549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ANNE MOENTMANN LMFT
Provider Business Mailing Address
First Line : 25019 RIVER WALK LN
Second Line :
City : STEVENSON RANCH
State : CA
Zip : 91381-1803
Country : US
Telephone Number : 661-254-0933
Fax Number :
Provider Business Practice Location Address
First Line : 25019 RIVER WALK LN
Second Line :
City : STEVENSON RANCH
State : CA
Zip : 91381-1803
Country : US
Telephone Number : 661-254-0933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2020
Last Update Date : 03/08/2020

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Directions to “ MS. JENNIFER ANNE MOENTMANN LMFT” Practice Location

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