| Gamma Jam Brainworks | |
|
1836 State St Santa Barbara CA 93101-2420 | |
| (805) 453-6190 | |
| Not Available |
| Full Name | Gamma Jam Brainworks |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1836 State St, Santa Barbara, California |
| Authorized Official Name and Position | Tiffany Paige Thompson (OWNER) |
| Authorized Official Contact | 3015020211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gamma Jam Brainworks 1108 De La Vina St Santa Barbara CA 93101-3114 Ph: (805) 453-6190 | Gamma Jam Brainworks 1836 State St Santa Barbara CA 93101-2420 Ph: (805) 453-6190 |
| NPI Number | 1225580319 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225580319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | :MFT89425 (California) | Primary |
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