Individual
JESSICA CHILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16661 VENTURA BLVD, SUITE #400-F, ENCINO, CA 91436-1914
(310) 985-1160
Mailing address
16661 VENTURA BLVD, SUITE #400-F, ENCINO, CA 91436-1914
(310) 985-1160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94023229
CA
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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