Jennifer D Andrews, MFT

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

NPI 1801002795 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801002795
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
43989 (CA)
Practice address
1305 Palmetto Ave Ste a
Pacifica, CA 94044-2274
Phone
(415) 518-2914
NPI assigned
May 15, 2007
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
43989CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43989 CA Yes

Addresses

Primary practice location

1305 Palmetto Ave Ste a
Pacifica, CA 94044-2274

Mailing address

1257 Oddstad Blvd
Pacifica, CA 94044-3852
Phone (650) 355-2138

Other providers in Pacifica, CA

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

Sources for this page

Verify at the official NPI Registry.