Jennifer Lynne Gilman, MFT
Individual provider Active NPI Marriage & Family Therapist · Pacifica, CA
NPI 1295832491 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295832491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC36387 (CA)
- Practice address
- 80 Eureka Square
Suite 147
Pacifica, CA 94044-2603 - Phone
- (650) 557-0304
- Fax
- (650) 557-0344
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC36387 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC36387 | CA | Yes |
Addresses
Primary practice location
80 Eureka Square
Suite 147
Pacifica, CA 94044-2603
Mailing address
80 Eureka Square
Suite 147
Pacifica, CA 94044-2603
Phone (650) 557-0304
Other names
- Jenna Gilman
Other providers in Pacifica, CA
- Katelyn Joy Fishtrom
- Beatriz Funes-Houseknecht
- Rachel Jenelle Gabriel
- Kelly Gahagan Noyes
- Lynn Gallo
- Priscilla Mary Gilmore
- Maria Cardenas Gines
- Robin Elizabeth Gluck
- Katherine Ryan Goetzke
- Charmaine Green
All providers in Pacifica, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.