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Organization

JAYNE MARSH LMFT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNE MARSH L.M.F.T. (LIC. MARRIAGE & FAMILY THERAPIST)
(408) 236-2111
Entity
Organization

Contact information

Practice address
3880 S BASCOM AVE, SUITE 216, SAN JOSE, CA 95124-2674
(408) 236-2111
Mailing address
PO BOX 2312, MORGAN HILL, CA 95038-2312

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
84356
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
84356
CA

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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