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Individual

MS. JENNIFER C. GAETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4316 LANAI RD, ENCINO, CA 91436-3617
(818) 399-1664
(818) 285-1555
Mailing address
4316 LANAI RD, ENCINO, CA 91436-3617
(818) 399-1664
(818) 285-1555

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15857
CA
104100000X
Social Worker
Primary
15857
CA

Other

Enumeration date
01/02/2011
Last updated
08/07/2024
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