JESSICA CHUN AMFT NPI 1619421864

NPI Information

NPI: 1619421864
Provider Name: JESSICA CHUN, AMFT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5318 CRENSHAW BLVD
LOS ANGELES, CA
ZIP 90043
Phone: (323) 293-6291
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Jessica Chun, AMFT is an addiction (substance use disorder) counselor in Los Angeles, CA. Jessica Chun, AMFT NPI is 1619421864. 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:

5318 CRENSHAW BLVD
LOS ANGELES, CA
ZIP 90043-810
Phone: (323) 293-6291
Fax: (323) 293-1091

The enumeration date for this NPI number is 8/4/2016 and was last updated on 11/4/2023.

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	101YM0800X	Counselor	Mental Health			No
2	106H00000X	Marriage & Family Therapist		AMFT142652	CALIFORNIA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A052350521	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A052350521	OTHER	CALIFORNIA	CCAPP
2	AMFT142652	OTHER	CALIFORNIA	BBS

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: 4/28/2024

NPI Synchronization or Removal

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