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General NPI Number Information
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NPI Number | 1851748271
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Entity Type | Individual
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Provider Name | JENNIFER BROWN AMFT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 200 MICHIGAN AVE
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City | VISTA
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State | CA
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Zip | 92084-5424
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Country | US
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Telephone | 760-726-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 113 MADISON ST
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City | OCEANSIDE
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State | CA
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Zip | 92057-4408
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Country | US
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Telephone | 442-340-8944
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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 | 101YP2500X
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Taxonomy Name | Professional 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 | 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 #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151869
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License Number State | CA
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