MEDICARE: MS. SHARYN HIGDON JONES 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	MFT18909	CA

General Provider Information

NPI Number	:	1982825360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARYN HIGDON JONES MFT

Provider Business Mailing Address
First Line	:	11248 CATALINA CT
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-4737
Country	:	US
Telephone Number	:	408-450-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	4855 ATHERTON AVE
Second Line	:	SUITE 201
City	:	SAN JOSE
State	:	CA
Zip	:	95130-1026
Country	:	US
Telephone Number	:	408-450-2660
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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