Provider Demographics
NPI:1073825196
Name:ABARCA, JENINE (LMFT)
Entity Type:Individual
Prefix:
First Name:JENINE
Middle Name:
Last Name:ABARCA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:JENINE
Other - Middle Name:NICOLE
Other - Last Name:ARENAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2502 E. HUNTINGTON DR.
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010
Mailing Address - Country:US
Mailing Address - Phone:626-263-9133
Mailing Address - Fax:626-280-6510
Practice Address - Street 1:2502 E. HUNTINGTON DR.
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010
Practice Address - Country:US
Practice Address - Phone:626-263-9133
Practice Address - Fax:626-280-6510
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist