Individual provider · Type 1 NPI

Janine Ivy, MFT

Student in an Organized Health Care Education/Training Program · Bakersfield, CA

NPI number 1417355207 Active

Practice location

2525 N Chester Ave Ste C
Bakersfield, CA 93308-1770

Call (661) 868-6601 Map

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X84060 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417355207

Janine Ivy, MFT's National Provider Identifier is 1417355207, issued on Dec 11, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Aug 5, 2016.