Jennifer Shively
Jennifer Shively is a Counselor in Tustin, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
18302 Irvine Blvd 300Tustin, CA 92780-3435
Phone: (714) 957-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1285031047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 21, 2014 |
| Last updated in NPPES | November 21, 2014 |
| Mailing address | 18302 Irvine Blvd, 300, Tustin, CA 92780-3435 |
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