| Jennifer Lynne Blume, LMFT | |
|
220 S Church St Ste E, Lodi, CA 95240 | |
| (209) 800-2557 | |
| Not Available |
| Full Name | Jennifer Lynne Blume |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 220 S Church St Ste E, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639306061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 50907 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 52620 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynne Blume, LMFT 220 S Church St Ste E, Lodi, CA 95240-3539 Ph: (209) 800-2557 | Jennifer Lynne Blume, LMFT 220 S Church St Ste E, Lodi, CA 95240 Ph: (209) 800-2557 |
Mr. John Brian Ford, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5828 | |
Mrs. Kimberly Ann Laskowski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 404 W Pine St Ste 1, Lodi, CA 95240 Phone: 209-339-1600 | |
Dulce Espinoza, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 891, Lodi, CA 95241 Phone: 209-712-9416 | |
Julie L. Yee, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1930 Tienda Dr, Suite 102, Lodi, CA 95242 Phone: 209-986-3597 | |
La Toya Littesy, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 315 W Pine St Ste 3, Lodi, CA 95240 Phone: 209-366-2273 | |
Kari Ann Seaton, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13520 E Live Oak Rd, Lodi, CA 95240 Phone: 209-331-2182 | |
Linda L Recuparo, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 |