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Jennafer Provinse
NPI 1346558772 · on the registry since 2010
Practice
- Address
- 15720 Ventura Blvd Ste 420
Encino, CA 91436 - Phone
- (562) 449-9258
- Organisation at this address
- Woundsafe
Medgo Mobile
Sls Medical Inc
Phase Two Atc Llc
Revivacare MobileInferred from a shared address, not stated in the registry. - Clinicians at this address
- 138
Additional practice sites
- 1200 Wilshire Blvd, Los Angeles, CA
- 2201 E Willow St # 169, Signal Hill, CA
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Also registered as
- Social Worker
Clinical Social Worker
Mental Health Counselor - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-11
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