Jennifer Andrea Givens
Social Worker, Clinical in Ontario, CA. Individual provider (NPI-1).
NPI number1104645720
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1104645720
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Andrea Givens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2024
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3281 E Guasti Rd Ste 440Ontario, CA 91761-7635
Phone 909-705-6354
Mailing address
12987 Moreno Beach Dr Apt 14305Moreno Valley, CA 92555-4443
Phone 562-754-3659
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