MEDICARE: MISS SAVANNAH NICOLE SCHWENNING MA, 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
1	106H00000X	Marriage & Family Therapist	134549	CA

General Provider Information

NPI Number	:	1629849070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SAVANNAH NICOLE SCHWENNING MA, LMFT

Provider Business Mailing Address
First Line	:	8860 VILLA LA JOLLA DR UNIT 220
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1963
Country	:	US
Telephone Number	:	916-626-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	16935 W BERNARDO DR STE 122
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1623
Country	:	US
Telephone Number	:	858-868-5558
Fax Number	:

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

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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