Jenny De Loera
NPI #1780266320 in Venice, California
Provider Information
- NPI Number
- 1780266320
- Entity Type
- Individual
- Name
- Jenny De Loera
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 717 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2845
- Phone
- (310) 399-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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