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Search › California › 106H00000X

Jennifer Conway-Brandt

NPI 1073160339 · on the registry since 2019 · sole proprietor

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 468-8842
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
846

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California