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NPI Code Detail

MEDICARE: JENNIFER LOUIE

MEDICARE: JENNIFER LOUIE
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 TherapistLMFT155613CA

General Provider Information

NPI Number : 1740065333
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LOUIE
Provider Business Mailing Address
First Line : 800 S GAREY AVE
Second Line :
City : POMONA
State : CA
Zip : 91766-3325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3622
Country : US
Telephone Number : 909-397-4491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2023
Last Update Date : 12/03/2025

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Directions to “ JENNIFER LOUIE ” Practice Location

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