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NPI Code Detail

MEDICARE: JENNIFER MICHELLE CORBIN LPCC

MEDICARE: JENNIFER MICHELLE CORBIN LPCC
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
1101YM0800XMental Health Counselor10883CA
2101YP2500XProfessional Counselor10883CA

General Provider Information

NPI Number : 1336868678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MICHELLE CORBIN LPCC
Provider Business Mailing Address
First Line : 1650 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5151
Country : US
Telephone Number : 714-525-8509
Fax Number :
Provider Business Practice Location Address
First Line : 1650 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5151
Country : US
Telephone Number : 714-525-8509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 02/24/2025

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Directions to “ JENNIFER MICHELLE CORBIN LPCC” Practice Location

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