MEDICARE: JENNIFER MORRIS LMFT

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	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	106H00000X	Marriage & Family Therapist
4	106H00000X	Marriage & Family Therapist	131580	CA

General Provider Information

NPI Number	:	1801340138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MORRIS LMFT

Provider Business Mailing Address
First Line	:	7252 ARCHIBALD AVE # 1027
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	323-902-1089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7252 ARCHIBALD AVE # 1027
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	323-902-1089
Fax Number	:

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

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	05/21/2024

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