| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER CAROLINA FUENTES BENITEZ | 1447959234 | 2023-03-01 |
Jennifer Carolina Fuentes Benitez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447959234. Registration indicates Jennifer Carolina Fuentes Benitez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jennifer Carolina Fuentes Benitez MS, AMFT |
| Practice Office Address | 650 SIERRA MADRE VILLA AVE SUITE 110 PASADENA, CA US |
| Practice Office Telephone | 6263519616 |
| Mailing Address | 650 SIERRA MADRE VILLA AVE STE 110 PASADENA, CA 911072040 US |
| Business Telephone | 6263519616 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 12560 W Washington Blvd | Los Angeles, CA 900665516 | 3238136218 |
| 11710 San Vicente Blvd | Los Angeles, CA 900495006 | 8556511580 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | AMFT135083
CA |
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 135083
CA |