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NPI Code Detail

MEDICARE: JACLYN SUZANNE HUNTER MA, LMFT 88831

MEDICARE: JACLYN SUZANNE HUNTER MA, LMFT 88831
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 Therapist88831CA

General Provider Information

NPI Number : 1316586258
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN SUZANNE HUNTER MA, LMFT 88831
Provider Business Mailing Address
First Line : 603 N CLEVELAND ST APT E
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2467
Country : US
Telephone Number : 760-712-7941
Fax Number :
Provider Business Practice Location Address
First Line : 2204 S EL CAMINO REAL STE 315
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6390
Country : US
Telephone Number : 760-696-7550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2019
Last Update Date : 12/23/2019

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Directions to “ JACLYN SUZANNE HUNTER MA, LMFT 88831” Practice Location

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