Provider Demographics
NPI:1386787281
Name:PFEIFFER, JENNIFER ELIZABETH (MFT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:ELIZABETH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:17 ARMINTA CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9445
Mailing Address - Country:US
Mailing Address - Phone:530-520-2083
Mailing Address - Fax:530-893-8702
Practice Address - Street 1:1458 ESPLANADE
Practice Address - Street 2:SUITES 4 AND 5
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3309
Practice Address - Country:US
Practice Address - Phone:530-895-9332
Practice Address - Fax:530-895-9332
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist