Antenique Jitae Nevarez in San Bernardino - Marriage & Family Therapist
Antenique Jitae Nevarez - NPI 1578759098
Antenique Jitae Nevarez is a Marriage & Family Therapist in San Bernardino, California. Antenique Jitae Nevarez practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Antenique Jitae Nevarez is 1578759098. The last update date is 2016-05-23.
Antenique Jitae Nevarez's current location address is 303 E Vanderbilt Way, San Bernardino, California. You can contact this provider via phone number 9093868229 and fax number 9098900574. The mailing address for Antenique Jitae Nevarez is 303 E Vanderbilt Way, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antenique Jitae Nevarez |
|---|---|
| Address | 303 E Vanderbilt Way, San Bernardino, California |
| Phone Number | 9093868229 |
| Fax Number | 9098900574 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1578759098 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2016-05-23 |
Provider Mailing Address Detail
| Address | 303 E Vanderbilt Way |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924150026 |
| Phone Number | 9093868229 |
| Fax Number | 9098900574 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 84634 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Antenique Jitae Nevarez by the Centers for Medicare & Medicaid Services?
The Antenique Jitae Nevarez has been assigned the NPI (National Provider Identifier) 1578759098 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Antenique Jitae Nevarez?
The Antenique Jitae Nevarez is physically situated at 303 E Vanderbilt Way, in the city of San Bernardino, state of CA, with the postal code 924150026.
What is Antenique Jitae Nevarez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Antenique Jitae Nevarez's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578759098 to Antenique Jitae Nevarez?
The Centers for Medicare & Medicaid Services assigned the 1578759098 to Antenique Jitae Nevarez on 2007-09-18.
When was the Antenique Jitae Nevarez's information last updated?
The Antenique Jitae Nevarez's information was last updated on 2016-05-23.
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