Provider Demographics
NPI:1134275373
Name:FINAMORE, JENNIFER ANN (MFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:FINAMORE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:JURCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3172 WALFORD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4898
Mailing Address - Country:US
Mailing Address - Phone:707-442-0172
Mailing Address - Fax:707-443-7473
Practice Address - Street 1:3172 WALFORD AVE STE 1
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503
Practice Address - Country:US
Practice Address - Phone:707-442-0172
Practice Address - Fax:707-443-7473
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38910106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist