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Organization

JEFFREY LEE EBBAGE

Active
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Organization

JEFFREY LEE EBBAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF EBBAGE (SOLE PROPRIETOR)
(831) 239-1644
Entity
Organization

Contact information

Practice address
6060 GRAHAM HILL RD STE J, FELTON, CA 95018-9764
(831) 239-1644
Mailing address
275 VICK DR, SANTA CRUZ, CA 95060-9600
(831) 239-1644

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
91247
CA

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
About Stedi
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