MEDICARE: SEERAT JAMMU

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
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1184026882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEERAT JAMMU

Provider Business Mailing Address
First Line	:	1328 2ND ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-1122
Country	:	US
Telephone Number	:	310-576-1308
Fax Number	:

Provider Business Practice Location Address
First Line	:	3435 OCEAN PARK BLVD STE 207
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-3314
Country	:	US
Telephone Number	:	310-392-9474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	07/22/2019

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Directions to “ SEERAT JAMMU ” Practice Location

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