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NPI Code Detail

MEDICARE: GAMMA JAM BRAINWORKS

MEDICARE: GAMMA JAM BRAINWORKS
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 Therapist:MFT89425CA

General Provider Information

NPI Number : 1225580319
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAMMA JAM BRAINWORKS
Provider Business Mailing Address
First Line : 1108 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3114
Country : US
Telephone Number : 805-453-6190
Fax Number :
Provider Business Practice Location Address
First Line : 1836 STATE ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-2420
Country : US
Telephone Number : 805-453-6190
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. TIFFANY PAIGE THOMPSON
Credential : PHD, MFT
Telephone Number : 301-502-0211
Provider Enumeration Date : 10/25/2016
Last Update Date : 01/22/2024

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Directions to “GAMMA JAM BRAINWORKS ” Practice Location

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