Individual provider · Type 1 NPI

Jenny De Loera

Addiction (Substance Use Disorder) Counselor · Venice, CA

NPI number 1780266320 Active

Practice location

717 Lincoln Blvd
Venice, CA 90291-2845

Call (310) 399-9883 Map

Fax (310) 399-9678

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780266320

Jenny De Loera's National Provider Identifier is 1780266320, issued on Apr 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, CA. The record was last updated on Apr 23, 2021.