Individual
JENNIFER ADDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 STEARNS DR, LOS ANGELES, CA 90035-4628
(323) 445-5678
Mailing address
1728 STEARNS DR, LOS ANGELES, CA 90035-4628
(323) 445-5678
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LMFT88485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598137358
NPPES
CA
Enumeration date
08/18/2021
Last updated
08/18/2021
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