Provider Demographics
NPI:1346398898
Name:ONSTOT, JENNIFER (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:ONSTOT
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6445
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6445
Mailing Address - Country:US
Mailing Address - Phone:530-342-3150
Mailing Address - Fax:
Practice Address - Street 1:22 WILLIAMSBURG LN
Practice Address - Street 2:A
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2238
Practice Address - Country:US
Practice Address - Phone:530-342-3150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45736106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist