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Jasmine Penate

Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).

NPI number1164041877
StatusActive
Last updated in NPPESApr 13, 2020

Details

NPI
1164041877
Entity type
Individual (NPI-1)
Name
Jasmine Penate
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2020
Certification date
Apr 13, 2020
Last updated
Apr 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2032 Marengo St
Los Angeles, CA 90033-1319

Phone 323-987-1034

Mailing address

2032 Marengo St
Los Angeles, CA 90033-1319

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