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NPI Code Detail

MEDICARE: JEANNE MARIE DUEBBERT LMFT

MEDICARE: JEANNE MARIE DUEBBERT 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
1106H00000XMarriage & Family TherapistMFC31335CA
2106H00000XMarriage & Family TherapistLMFT31335CA

General Provider Information

NPI Number : 1851580385
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE MARIE DUEBBERT LMFT
Provider Business Mailing Address
First Line : 14700 MANZANITA PARK ROAD
Second Line :
City : BEAUMONT
State : CA
Zip : 92223
Country : US
Telephone Number : 951-845-3155
Fax Number :
Provider Business Practice Location Address
First Line : 14700 MANZANITA RD
Second Line :
City : BEAUMONT
State : CA
Zip : 92223-3026
Country : US
Telephone Number : 951-845-3155
Fax Number : 951-845-8412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 07/02/2019

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Directions to “ JEANNE MARIE DUEBBERT LMFT” Practice Location

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