Individual provider · Type 1 NPI

Marisa Jantzen

Mental Health Counselor · Lawndale, CA

NPI number 1639299217 Active

Practice location

16129 Prairie Ave
Lawndale, CA 90260-2759

Call (310) 542-4825 Map

Mailing address

1904 S Robertson Blvd, #6
Los Angeles, CA 90034-1129

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639299217

Marisa Jantzen's National Provider Identifier is 1639299217, issued on Mar 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawndale, CA. The record was last updated on Jul 8, 2007.