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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNA VAN WAGNER, M.S.

Active

MRS. JENNA VAN WAGNER, M.S. is a Marriage & Family Therapist healthcare provider located in LOS ANGELES, California. NPI 1386979185 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · LOS ANGELES, CA

Registration Details

NPI Number
1386979185
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2009 (16.843430741833 yrs)
Last Updated
Feb 14, 2023
Licenses
LMFT77695 (CA)
59669 (CA)

Practice Information

Address
5240 DAHLIA DR
LOS ANGELES, CA, 900411407
Browse CA providers · Browse ZIP 90041
Phone
3104283768
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in LOS ANGELES, CA

Name Credential NPI
MR. RICHARD MELVIN HIRSCHKOFF L.M.F.T. 1003811738
SHARON NESSELLE M.F.T. 1285633776
JOAN L. LAVICK M.F.T. 1326047812
LORI A. ELMELUND M.F.T. 1992704472
MR. STEVEN LYLE KADEL M.A., MFT 1144201153
MS. ANITA MICHELA FRANKEL M.A., M.F.T. 1396729497
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.