Jimmy Don Hargrove MFTI

NPI 1053673301 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1053673301
Gender Male
Enumeration Date 06/12/2012
Last Updated 06/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
72710 E LYNN ST
THOUSAND PALMS CA, 92276-3312, US
Phone (760) 343-3211
Fax
Business Location
34538 DOUBLE DIAMOND DR
THOUSAND PALMS CA, 92276-4107, US
Phone (760) 702-1715
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 66850
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According to our database, Mr. Jimmy Don Hargrove MFTI NPI is 1053673301, taxonomy code is 106H00000X and license number is 66850, license state is located at California. Jimmy Don Hargrove MFTI physically located at 72710 E Lynn St, Thousand Palms CA, 92276-3312. NPI Number Jimmy Don Hargrove MFTI has the Individual type.

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1053673301 NPI number is provided on an as is basis without warranty of any kind. 1053673301 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmy Don Hargrove MFTI are for informational purposes only.