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NPI Code Detail

MEDICARE: JACQUELINE ALLEN LMFT

MEDICARE: JACQUELINE ALLEN 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 Therapist144227CA

General Provider Information

NPI Number : 1891559241
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE ALLEN LMFT
Provider Business Mailing Address
First Line : 4712 E 2ND ST # 610
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD STE 180
Second Line :
City : PASADENA
State : CA
Zip : 91101-6144
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2024
Last Update Date : 02/12/2026

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Directions to “ JACQUELINE ALLEN LMFT” Practice Location

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