JENNAFER ROCHELLE PROVINSE

ENCINO, CA
NPI1346558772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  117856)
Additional Taxonomies104100000X Social Worker
(Licence: CA  82093)
1041C0700X Social Worker, Clinical
101YM0800X Counselor, Mental Health
(Licence: CA  82093)
Enumeration Date2010-09-20
Last Update Date2023-10-11
Business Address
JENNAFER ROCHELLE PROVINSE
15720 VENTURA BLVD STE 420
ENCINO, CA 91436-4711
Phone number: 562-449-9258
Mailing Address
JENNAFER ROCHELLE PROVINSE
2201 E WILLOW ST # 169
SIGNAL HILL, CA 90755-2148
Phone number: 562-449-9258