Provider Demographics
NPI:1598486359
Name:JENNIFER L FLOOD, LMFT, LPCC'S MARRIAGE AND FAMILY COUNSELING GROUP, I
Entity Type:Organization
Organization Name:JENNIFER L FLOOD, LMFT, LPCC'S MARRIAGE AND FAMILY COUNSELING GROUP, I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-213-3444
Mailing Address - Street 1:2335 AMERICAN RIVER DR STE 301
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-7088
Mailing Address - Country:US
Mailing Address - Phone:530-213-3444
Mailing Address - Fax:916-357-8630
Practice Address - Street 1:2335 AMERICAN RIVER DR STE 301
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-7088
Practice Address - Country:US
Practice Address - Phone:530-213-3444
Practice Address - Fax:916-357-8630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty