Individual provider · Type 1 NPI

Jennifer Maravola

Mental Health Counselor · La Mesa, CA

NPI number 1508310996 Active

Practice location

8600 La Mesa Blvd Ste B
La Mesa, CA 91942-9572

Call (619) 733-6414 Map

Mailing address

2600 Harbor Blvd # 535
Oxnard, CA 93035-3913

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X11198 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1508310996

Jennifer Maravola's National Provider Identifier is 1508310996, issued on Aug 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Mesa, CA. The record was last updated on Jul 1, 2022.