Provider Demographics
NPI:1265298251
Name:JENNIFER GREENE LMFT, CORP
Entity type:Organization
Organization Name:JENNIFER GREENE LMFT, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT 126229
Authorized Official - Phone:559-473-7521
Mailing Address - Street 1:941 SANTA YNEZ WAY APT 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4590
Mailing Address - Country:US
Mailing Address - Phone:559-473-7521
Mailing Address - Fax:
Practice Address - Street 1:941 SANTA YNEZ WAY APT 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4590
Practice Address - Country:US
Practice Address - Phone:559-473-7521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty