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NPI Code Detail

MEDICARE: MR. JEFFREY WILLIAM STAMBOOK MFT

MEDICARE: MR. JEFFREY WILLIAM STAMBOOK 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
1106H00000XMarriage & Family TherapistMFC43897CA
2106H00000XMarriage & Family TherapistT2065OR

General Provider Information

NPI Number : 1619008943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY WILLIAM STAMBOOK MFT
Provider Business Mailing Address
First Line : 300 JAMAICA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2307
Country : US
Telephone Number : 661-706-7285
Fax Number :
Provider Business Practice Location Address
First Line : 300 JAMAICA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2307
Country : US
Telephone Number : 661-706-7285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 04/20/2026

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