Provider Demographics
NPI:1528210051
Name:PICOTTE, JENNIFER C-STRATHY (LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C-STRATHY
Last Name:PICOTTE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:CHRISTINE
Other - Last Name:STRATHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:351 HITCHCOCK WAY
Mailing Address - Street 2:B165
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4016
Mailing Address - Country:US
Mailing Address - Phone:805-448-2004
Mailing Address - Fax:
Practice Address - Street 1:351 HITCHCOCK WAY
Practice Address - Street 2:B165
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4016
Practice Address - Country:US
Practice Address - Phone:805-448-2004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11734171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist