Jennifer Lynn Lively
Jennifer Lynn Lively is a Counselor in San Pedro, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
704 W 8th StSan Pedro, CA 90731-3017
Phone: (310) 832-7545
Fax: (310) 833-8530
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1558675934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2010 |
| Last updated in NPPES | August 20, 2010 |
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