Individual provider · Type 1 NPI
Jennifer Lynn Line
Mental Health Counselor · Santa Rosa, CA
NPI number
1376112979
Active
Practice location
634 Pressley St
Santa Rosa, CA 95404-5526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1376112979
Jennifer Lynn Line's National Provider Identifier is 1376112979, issued on Jun 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 18, 2021.