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NPI Code Detail

MEDICARE: JOCELYN O'NEAL MFT/IMF

MEDICARE: JOCELYN O'NEAL MFT/IMF
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 TherapistMFTI 80057CA
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1578742441
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN O'NEAL MFT/IMF
Provider Business Mailing Address
First Line : 3840 ROSIN CT STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1645
Country : US
Telephone Number : 916-388-6391
Fax Number :
Provider Business Practice Location Address
First Line : 3840 ROSIN CT STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1645
Country : US
Telephone Number : 916-388-6391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2007
Last Update Date : 04/13/2023

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Directions to “ JOCELYN O'NEAL MFT/IMF” Practice Location

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