Individual provider · Type 1 NPI

Jennifer Shively

Counselor · Tustin, CA

NPI number 1285031047 Active

Practice location

18302 Irvine Blvd, 300
Tustin, CA 92780-3435

Call (714) 957-1004 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285031047

Jennifer Shively's National Provider Identifier is 1285031047, issued on Nov 21, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tustin, CA. The record was last updated on Nov 21, 2014.