Provider Demographics
NPI:1912266677
Name:SALINAS, JEFFREY HOWARD (MFT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:HOWARD
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E. 28TH STREET
Mailing Address - Street 2:SUITE 309
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-2181
Mailing Address - Country:US
Mailing Address - Phone:626-590-3819
Mailing Address - Fax:
Practice Address - Street 1:2301 E 28TH ST
Practice Address - Street 2:SUITE 309
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-2181
Practice Address - Country:US
Practice Address - Phone:626-590-3819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17074106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist