| Jeffrey Lee Ebbage | |
|
6060 Graham Hill Rd Ste J Felton CA 95018-9764 | |
| (831) 239-1644 | |
| Not Available |
| Full Name | Jeffrey Lee Ebbage |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6060 Graham Hill Rd Ste J, Felton, California |
| Authorized Official Name and Position | Jeff Ebbage (SOLE PROPRIETOR) |
| Authorized Official Contact | 8312391644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Lee Ebbage 275 Vick Dr Santa Cruz CA 95060-9600 Ph: (831) 239-1644 | Jeffrey Lee Ebbage 6060 Graham Hill Rd Ste J Felton CA 95018-9764 Ph: (831) 239-1644 |
| NPI Number | 1316471196 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316471196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 91247 (California) | Primary |
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