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MS. JENIFER BURKETT MA MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1609887892

Individual Registrant:
MS. JENIFER  BURKETT MA MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
38550 S HIGHWAY 1  GUALALA, CA 95445-8592 US
Tel: 707-328-3544  Fax: --

Contact information for business:
P.O. BOX 6443  SANTA ROSA, CA 95403-4157 US
Tel: --  Fax: --

Registration Information:
NPI: 1609887892
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT30315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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