Individual
DR. JENNICA JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, JD
Contact information
Practice address
3101 OCEAN PARK BLVD STE 100, SANTA MONICA, CA 90405-3029
(844) 287-4228
Mailing address
3631 E 15TH ST, LONG BEACH, CA 90804-2942
(650) 504-0494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184062333
PSYCHOLOGY
CA
Enumeration date
06/10/2013
Last updated
03/18/2022
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