# JENNY ELLINGSEN DBA GENESIS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831219773
- **Authorized official:** MS. JENNY RODELANDER ELLINGSEN MS (DIRECTOR)
- **Authorized official phone:** (760) 729-5705

## Contact information

- **Practice address:** 3150 EL CAMINO REAL, SUITE E, CARLSBAD, CA 92008-2110
- **Practice address phone:** (760) 729-5705
- **Practice address fax:** (760) 632-0223
- **Mailing address:** 3150 EL CAMINO REAL, SUITE E, CARLSBAD, CA 92008-2110
- **Mailing address phone:** (760) 729-5705
- **Mailing address fax:** (760) 632-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | CA\# MFC19117 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2007
- **Last updated:** 08/22/2020