Individual provider · Type 1 NPI

Jenna Divito

Mental Health Counselor · Los Angeles, CA

NPI number 1508143140 Active

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Fax (213) 241-3305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW61907 (CA)

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About NPI 1508143140

Jenna Divito's National Provider Identifier is 1508143140, issued on Nov 10, 2011. 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 Jan 14, 2015.