Individual
JENNA EDEN GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3680 E IMPERIAL HWY STE 220, LYNWOOD, CA 90262-2663
(323) 769-7174
Mailing address
3680 E IMPERIAL HWY STE 220, LYNWOOD, CA 90262-2663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106016
CA
104100000X
Social Worker
Primary
106016
CA
Other
Enumeration date
10/24/2022
Last updated
06/29/2023
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