Individual
MS. JENNA LOUISE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
330 N BRAND BLVD STE 700, GLENDALE, CA 91203-2336
(415) 717-3833
Mailing address
34052 DOHENY PARK RD SPC 69, CAPISTRANO BEACH, CA 92624-3142
(415) 717-3833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
09/19/2007
Last updated
02/25/2025
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