MEDICARE: MS. JENNIFER LYNNE STRUBE M.S.

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1194056747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LYNNE STRUBE M.S.

Provider Business Mailing Address
First Line	:	25 WEST ANAPAMA ST
Second Line	:	CADA
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-5148
Country	:	US
Telephone Number	:	805-730-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 WEST ANAPAMA ST
Second Line	:	CADA
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-5148
Country	:	US
Telephone Number	:	805-730-7575
Fax Number	:

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

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	01/27/2010

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