Organization
NESTED INTEGRAL COACHING CONSTELLATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EVANS (EXECUTIVE DIRECTOR)
(424) 327-3832
Entity
Organization
Contact information
Practice address
2700 AVIATION BLVD APT 12, REDONDO BEACH, CA 90278-1900
(424) 327-3832
Mailing address
1600 ROSECRANS AVE, BUILDING 7, FLOOR 4, MANHATTAN BEACH, CA 90266
(424) 327-3832
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225C00000X
Rehabilitation Counselor
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/29/2026
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