Provider Demographics
NPI:1023153467
Name:MILLER, JENNIFER MARY (LMFT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARY
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:MILLER
Other - Last Name:SCHATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFII/LMFT
Mailing Address - Street 1:5266 HOLLISTER AVENUE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2037
Mailing Address - Country:US
Mailing Address - Phone:805-448-1569
Mailing Address - Fax:
Practice Address - Street 1:5266 HOLLISTER AVENUE
Practice Address - Street 2:SUITE 324
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2037
Practice Address - Country:US
Practice Address - Phone:805-448-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
CALMFT50790106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner