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NPI Code Detail

MEDICARE: DR. JAY STONE RICE PH.D, LMFT

MEDICARE:  DR. JAY STONE RICE  PH.D, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT19107CA

General Provider Information

NPI Number : 1114450715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY STONE RICE PH.D, LMFT
Provider Business Mailing Address
First Line : 2173 FRANCISCO BLVD E STE J
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-5523
Country : US
Telephone Number : 415-485-1388
Fax Number :
Provider Business Practice Location Address
First Line : 2173 FRANCISCO BLVD E STE J
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-5523
Country : US
Telephone Number : 415-485-1388
Fax Number : 415-897-7227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2017
Last Update Date : 04/10/2017

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Directions to “ DR. JAY STONE RICE PH.D, LMFT” Practice Location

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