Individual
JENNIFER J MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(916) 427-7141
Mailing address
10839 GOLD CENTER DRIVE, RANCHO CORDOVA, CA 95670
(916) 364-8395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
01/12/2021
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