Provider Demographics
NPI:1992990840
Name:JAMES, JEFFREY ALAN (MA)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:ALAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24250 PHEASANT CT
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-9349
Mailing Address - Country:US
Mailing Address - Phone:831-206-6972
Mailing Address - Fax:831-655-3939
Practice Address - Street 1:119 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2626
Practice Address - Country:US
Practice Address - Phone:831-206-6972
Practice Address - Fax:831-655-3939
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist