Individual
JENEVE KANAVENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PSY. D.
Contact information
Practice address
1000 GOODRICH BLVD, COMMERCE, CA 90022-5103
(323) 832-9795
Mailing address
1000 GOODRICH BLVD, COMMERCE, CA 90022-5103
(323) 832-9795
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
08/03/2016
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