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NPI Code Detail

MEDICARE: JILL MARIE HANNA

MEDICARE: JILL MARIE HANNA
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 TherapistMFC 43645CA

General Provider Information

NPI Number : 1588713770
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL MARIE HANNA
Provider Business Mailing Address
First Line : 2310 1ST ST
Second Line :
City : NAPA
State : CA
Zip : 94559-2239
Country : US
Telephone Number : 707-255-1855
Fax Number :
Provider Business Practice Location Address
First Line : 2310 1ST ST
Second Line :
City : NAPA
State : CA
Zip : 94559-2239
Country : US
Telephone Number : 707-255-1855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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Directions to “ JILL MARIE HANNA ” Practice Location

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