Doctor Name: | JENNIFER LYNN TERRERI |
NPI Number: | 1003260142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C17821214 |
Business Practice Address: | 310 Harris Ave Ste A Sacramento, CA - 958383249 |
Business Phone Number: | 9166496793 |
Business Fax Number: | 9169297411 |
Mailing Address: | 310 Harris Ave Ste A, SACRAMENTO |
State: | CA |
Postal Code: | 958383249 |
Phone Number: | 9166496793 |
Fax Number: | 9169297411 |
NPI Enumeration Date: | 04/14/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | C17821214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |