Jacqueline Rae Kubal MFT

NPI 1366576738 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1366576738
Gender Female
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11533 C AVE
AUBURN CA, 95603-2703, US
Phone (916) 787-8944
Fax (916) 787-8899
Business Location
PO BOX 955
ROSEVILLE CA, 95661-0955, US
Phone (916) 787-8944
Fax (916) 787-8899
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 30031
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According to our database, Ms. Jacqueline Rae Kubal MFT NPI is 1366576738, taxonomy code is 106H00000X and license number is 30031, license state is located at California. Jacqueline Rae Kubal MFT physically located at 11533 C Ave, Auburn CA, 95603-2703. NPI Number Jacqueline Rae Kubal MFT has the Individual type.

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1366576738 NPI number is provided on an as is basis without warranty of any kind. 1366576738 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Rae Kubal MFT are for informational purposes only.