Individual
JESSICA RAE DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11835 W OLYMPIC BLVD STE 815E, LOS ANGELES, CA 90064-5056
(323) 332-9905
Mailing address
27711 NIGUEL VILLAGE DR, LAGUNA NIGUEL, CA 92677-4017
(949) 280-1994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
12451
CA
Other
Enumeration date
10/20/2009
Last updated
02/22/2023
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