MEDICARE: MS. JENNIFER FEELEY M.A., 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
1	106H00000X	Marriage & Family Therapist	MFC 35307	CA

General Provider Information

NPI Number	:	1750315909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER FEELEY M.A., MFT

Provider Business Mailing Address
First Line	:	1900 BROADWAY
Second Line	:	#2
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-2278
Country	:	US
Telephone Number	:	415-244-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	4831 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2910
Country	:	US
Telephone Number	:	415-244-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/21/2022

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