Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 815001-CAST | CA |
N | 174N00000X | Lactation Consultant | ||
N | 175L00000X | Homeopath |
NPI | 1619239266 |
---|---|
Provider Name | Jennifer Jeffcoat |
First Address | Santa Cruz, CA 95060-3614 |
Second Address | Santa Cruz, CA 95060-3614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 08/07/2021 |