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Jenna Wilson

Counselor in Santa Monica, CA. Individual provider (NPI-1).

NPI number1407290331
StatusActive
Last updated in NPPESApr 22, 2013

Details

NPI
1407290331
Entity type
Individual (NPI-1)
Name
Jenna Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2013
Last updated
Apr 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1328 2nd St
Santa Monica, CA 90401-1122

Phone 310-576-1308 · Fax 310-576-1027

Mailing address

1328 2nd St
Santa Monica, CA 90401-1122

Phone 310-576-1308 · Fax 310-576-1027

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