MEDICARE: MRS. JENNIFER ELIZABETH PFEIFFER MFT

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	106H00000X	Marriage & Family Therapist	MFC 43188	CA

General Provider Information

NPI Number	:	1386787281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ELIZABETH PFEIFFER MFT

Provider Business Mailing Address
First Line	:	17 ARMINTA CT
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-9445
Country	:	US
Telephone Number	:	530-520-2083
Fax Number	:	530-893-8702

Provider Business Practice Location Address
First Line	:	1458 ESPLANADE
Second Line	:	SUITES 4 AND 5
City	:	CHICO
State	:	CA
Zip	:	95926-3309
Country	:	US
Telephone Number	:	530-895-9332
Fax Number	:	530-895-9332

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/08/2007

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