# MR. JEFFREY EUGENE BETTENCOURT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760718647
- **Gender:** Man
- **Credential:** LMFT;LEP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | 2986 | CA | — |
| 106H00000X | Marriage & Family Therapist | 29912 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/27/2009