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General NPI Number Information
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NPI Number | 1356988083
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Entity Type | Individual
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Provider Name | JENNIFER AILEEN TODD AMFT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 301 E 13TH ST
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City | MERCED
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State | CA
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Zip | 95341-6211
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Country | US
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Telephone | 209-381-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 834 ANNETTE CT
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City | MERCED
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State | CA
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Zip | 95348-8585
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Country | US
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Telephone | 916-279-1529
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT155251
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License Number State | CA
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