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NPI Code Detail

MEDICARE: JENNIFER ERIN REIMER MS

MEDICARE: JENNIFER ERIN REIMER MS
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
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist
3106H00000XMarriage & Family Therapist130088CA

General Provider Information

NPI Number : 1326696477
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ERIN REIMER MS
Provider Business Mailing Address
First Line : 11526 SORRENTO VALLEY RD STE F
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-1314
Country : US
Telephone Number : 858-588-3644
Fax Number :
Provider Business Practice Location Address
First Line : 11526 SORRENTO VALLEY RD STE F
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-1314
Country : US
Telephone Number : 858-588-3644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2019
Last Update Date : 11/04/2024

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