Provider Demographics
NPI:1225163074
Name:HUNGERFORD, JENNIFER BORLAND
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:BORLAND
Last Name:HUNGERFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-6591
Mailing Address - Country:US
Mailing Address - Phone:530-747-3372
Mailing Address - Fax:530-753-0398
Practice Address - Street 1:2100 5TH ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-6591
Practice Address - Country:US
Practice Address - Phone:530-747-3372
Practice Address - Fax:530-753-0398
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor