Provider Demographics
NPI:1346910841
Name:BRAMER, JENNIFER EILEEN (TRAINEE MFT/PCC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:EILEEN
Last Name:BRAMER
Suffix:
Gender:F
Credentials:TRAINEE MFT/PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2395
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-0085
Mailing Address - Country:US
Mailing Address - Phone:530-743-6623
Mailing Address - Fax:
Practice Address - Street 1:1002 LIVE OAK BLVD STE D
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4028
Practice Address - Country:US
Practice Address - Phone:530-751-6985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No172V00000XOther Service ProvidersCommunity Health Worker