Healthcare Provider Details
I. General information
NPI: 1740418532
Provider Name (Legal Business Name): MRS. J'EANNINE MARIE MCFERREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2009
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7001A EAST PKWY STE 800
SACRAMENTO CA
95823-2501
US
IV. Provider business mailing address
10923 PROGRESS CT UNIT 1671
RANCHO CORDOVA CA
95670-5667
US
V. Phone/Fax
- Phone: 916-531-0625
- Fax:
- Phone: 510-205-8771
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 151278 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: