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General NPI Number Information
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NPI Number | 1720412125
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Entity Type | Individual
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Provider Name | JESSICA COOMBS LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 595 BUCKINGHAM WAY STE 343
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1911
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Country | US
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Telephone | 650-681-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 3739 BALBOA ST STE 205
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2605
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Country | US
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Telephone | 888-588-8995
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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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 | LMFT119407
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License Number State | CA
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