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Jennifer Deforest, MFT INTERN
NPI 1053780064 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7461 Beverly Blvd
Unit 405
Los Angeles, CA 90036 - Phone
- (323) 939-6355
- Organisation at this address
- Active Care Home Health, Inc.
Miracle Mile Community PracticeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Marriage & Family Therapist
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California