person
Ms. Jessica Ivener, LAADC
Addiction (Substance Use Disorder) Counselor in Agoura Hills, California
NPI 1063004182

Jessica Ivener is an Addiction (Substance Use Disorder) Counselor based in Agoura Hills, CA and is specialized in Addiction (Substance Use Disorder). Jessica Ivener practices in Agoura Hills, CA and has the professional credentials of LAADC. The NPI Number for Jessica Ivener is 1063004182 and holds a License No. LCI11100418 (California).

The current practice location address for Jessica Ivener is 28720 Roadside Dr Ste 230, Agoura Hills, CA and can be reached out via phone at 805-908-1866.

Location: 28720 Roadside Dr Ste 230, Agoura Hills, CA, 91301-6008
person
Provider Profile Details
NPI Number
1063004182
Provider Name
Jessica Ivener
Credential
LAADC
Provider Entity Type
Individual
Gender
Female
Address
28720 Roadside Dr Ste 230, Agoura Hills, CA, 91301-6008
Phone Number
805-908-1866
Fax Number
Provider Enumeration Date
02/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28720 Roadside Dr Ste 230
City
State
Zip
91301-6008
Phone Number
805-908-1866
Fax Number
person
Provider Business Mailing Address Details
Address
28720 Roadside Dr Ste 230
City
State
Zip
91301-6008
Phone Number
805-908-1866
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCI11100418 (California)
Definition
Definition to come...
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