| Doctor Name: | MISS JENNA RACHEL ROSENTHAL |
| NPI Number: | 1346640471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | ASW66955 |
| Business Practice Address: | 13001 Ramona Blvd Suite I Irwindale, CA - 917063752 |
| Business Phone Number: | 6263373828 |
| Business Fax Number: | |
| Mailing Address: | 23530 Calvert St, WOODLAND HILLS |
| State: | CA |
| Postal Code: | 913671307 |
| Phone Number: | 8183126482 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2014 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ASW66955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |