Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER DIANE BOLEN
Deactivated Sole ProprietorJENNIFER DIANE BOLEN is a Marriage & Family Therapist healthcare provider located in CLOVIS, California. NPI 1417103169 is deactivated in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CLOVIS, CA
This NPI has been deactivated.
The record was deactivated on November 9, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417103169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2008 (17.241095890411 yrs)
- Last Updated
- Dec 7, 2025
- Deactivated
- Nov 9, 2025
- License
-
53385 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1467 N WHITEASH AVECLOVIS, CA, 936198116Browse CA providers · Browse ZIP 93619
- Phone
- 5599307147
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in CLOVIS, CA
| Name | Credential | NPI |
|---|---|---|
| MS. YULEEN YURI AL-SAOUDI | M.S. | 1891883906 |
| MR. ALEXANDER BETANCOURT | MFT | 1043383078 |
| MR. BRIAN K. STILWELL | MFT | 1265509749 |
| MS. REBECCA R GOMEZ | LMFT, M.S. | 1639238785 |
| MS. AURELIA CYNTHIA DE LEON | MFT | 1366501751 |
| MRS. SUSAN LOWE | — | 1821151770 |
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.