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Individual

JENNIFER SIMPKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CH.T

Contact information

Practice address
1111 12TH ST APT G, SANTA MONICA, CA 90403-5493
(310) 910-1896
Mailing address
1111 12TH ST APT G, SANTA MONICA, CA 90403-5493
(310) 910-1896

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171400000X
Health & Wellness Coach
Primary
174400000X
Specialist
251S00000X
Community/Behavioral Health Agency
305S00000X
Point of Service

Other

Enumeration date
03/16/2022
Last updated
03/23/2022
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