Individual provider · Type 1 NPI

Jennifer Gross, MFTI

Mental Health Counselor · Los Angeles, CA

NPI number 1093834111 Active

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Call (323) 432-4185 Map

Fax (323) 432-5086

Mailing address

21403 Legend Ave
Carson, CA 90745-1711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X53132 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1093834111

Jennifer Gross, MFTI's National Provider Identifier is 1093834111, issued on Mar 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 23, 2010.