Jennifer Caplan, MFT

Individual provider Active NPI Marriage & Family Therapist · Sausalito, CA

NPI 1104228907 · NPPES record last updated Sep 23, 2014

Key facts

NPI
1104228907
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
79610 (CA)
Practice address
9A Marion Ave
Sausalito, CA 94965-2521
Phone
(415) 515-9510
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79610CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 79610 CA Yes

Addresses

Primary practice location

9A Marion Ave
Sausalito, CA 94965-2521

Mailing address

1728 Union St
Suite 304
San Francisco, CA 94123-4428

Other providers in Sausalito, CA

All providers in Sausalito, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.