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Provider Information for 1295832491


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JENNIFER LYNNE GILMAN MFT


Other Names:  
Other Name: 
JENNA GILMAN MFT

Sex: Female

NPI: 1295832491
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1295832491
Enumeration Date2006-09-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 80 EUREKA SQUARE
SUITE 147
PACIFICA, CA 94044-2603
United States

Phone: 650-557-0304 | Fax:650-557-0344
 
Primary Practice Address 80 EUREKA SQUARE
SUITE 147
PACIFICA, CA 94044-2603
United States

Phone: 650-557-0304 | Fax:650-557-0344
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CAMFC36387