Jennifer Giancola, LMFT

NPI 1215364542 · on the registry since 2013 · sole proprietor

Practice

Address: 143 N Larchmont Blvd Fl 2
Los Angeles, CA 90004
Phone: (323) 454-1107
Organisation at this address: Monica Federoff Md Phd Inc
East Side Ketamine Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-10-01

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