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JENNAFER PROVINSE
Clinical Social Worker
NPI: 1346558772Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
117856(CA)
Social Worker
Social Worker
Code: 104100000X
82093(CA)
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
82093(CA)
Contact & Hours
Via practice · 3 locations total
- Address
- 15720 VENTURA BLVD STE 420
ENCINO, CA 91436 - Phone
- (562) 449-9258
Quick Facts
- NPI
- 1346558772
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 3
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