Individual
JARAE QUINISE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 517-2368
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
04/08/2026
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