Doctor Name: | MRS. JENNIFER J DEVALL |
NPI Number: | 1013214733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LPCC |
License Number: | LPC413 |
Business Practice Address: | 41870 Kalmia St Suite 155 Murrieta, CA - 925628839 |
Business Phone Number: | 9514406220 |
Business Fax Number: | |
Mailing Address: | 41870 Kalmia St, Suite 155 MURRIETA |
State: | CA |
Postal Code: | 925628839 |
Phone Number: | 9514406220 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |