Individual provider · Type 1 NPI

Jennifer Diane Bolen

Marriage & Family Therapist · Clovis, CA

NPI number 1417103169 Active · reactivated Dec 4, 2025

Practice location

1467 N Whiteash Ave
Clovis, CA 93619-8116

Mailing address

2511 Jensen Ave
Sanger, CA 93657-2251

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X53385 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1417103169

Jennifer Diane Bolen's National Provider Identifier is 1417103169, issued on Aug 13, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Clovis, CA. The record was last updated on Dec 7, 2025.