Individual
JENELLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
718 UNIVERSITY AVE STE 110, LOS GATOS, CA 95032-7608
(408) 896-0736
Mailing address
120 AMANDA LN, LOS GATOS, CA 95032-4713
(408) 896-0736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW22149
CA
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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