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NPI Code Detail

MEDICARE: MS. JANELLE HARRIS GERBER MA, IMF

MEDICARE:  MS. JANELLE HARRIS GERBER  MA, 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
1106H00000XMarriage & Family TherapistIMF 47354CA

General Provider Information

NPI Number : 1720173297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANELLE HARRIS GERBER MA, IMF
Provider Business Mailing Address
First Line : 4242 RANDHURST WAY
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628
Country : US
Telephone Number : 916-276-8388
Fax Number : 916-967-7601
Provider Business Practice Location Address
First Line : 2445 ALBATROSS WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95628
Country : US
Telephone Number : 916-631-0771
Fax Number : 916-631-0498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JANELLE HARRIS GERBER MA, IMF” Practice Location

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