Jennifer Garcia, ASW 63502
Individual provider Active NPI Mental Health Counselor · Los Angeles, Ca 9002, CA
NPI 1871994533 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1871994533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 63502 (CA)
- Practice address
- 4701 E. Cesar Chavez Ave.
Los Angeles, Ca 9002, CA 90022 - Phone
- (323) 881-3799
- Fax
- (323) 260-5202
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63502 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63502 | CA | Yes |
Addresses
Primary practice location
4701 E. Cesar Chavez Ave.
Los Angeles, Ca 9002, CA 90022
Mailing address
4701 E Cesar E Chavez Ave
East Los Angeles, CA 90022-1209
Phone (323) 881-3799
Other practice location 1
14515 Hamlin St
Suite 102
Van Nuys, CA 91411-1608
Phone (818) 989-7475
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.