Provider Demographics
NPI:1902369036
Name:VOGEL, JENNIFER SUE (LMFT #122491)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SUE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:LMFT #122491
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S HOPE AVE STE A107
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5023
Mailing Address - Country:US
Mailing Address - Phone:805-701-0060
Mailing Address - Fax:805-770-5279
Practice Address - Street 1:350 S HOPE AVE STE A107
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5023
Practice Address - Country:US
Practice Address - Phone:805-701-0060
Practice Address - Fax:805-770-5279
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-06
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist