Healthcare Provider Details
I. General information
NPI: 1073268496
Provider Name (Legal Business Name): JACLYN QUINN ALLMAN LMFT, JD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/14/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1712 19TH ST STE 202
BAKERSFIELD CA
93301-4333
US
IV. Provider business mailing address
1712 19TH ST STE 202
BAKERSFIELD CA
93301-4333
US
V. Phone/Fax
- Phone: 619-408-6860
- Fax:
- Phone: 661-364-3431
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: