MS. JESSICA IVENER LAADC NPI 1063004182

NPI Information

NPI: 1063004182
Provider Name: MS. JESSICA IVENER, LAADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
28720 ROADSIDE DR STE 230
AGOURA HILLS, CA
ZIP 91301
Phone: (805) 908-1866
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MS. Jessica Ivener, LAADC is an addiction (substance use disorder) counselor in Agoura Hills, CA. MS. Jessica Ivener, LAADC NPI is 1063004182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28720 ROADSIDE DR STE 230
AGOURA HILLS, CA
ZIP 91301-008
Phone: (805) 908-1866

The enumeration date for this NPI number is 2/10/2021 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCI11100418	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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