Provider Demographics
NPI:1093968810
Name:CUEN, JENNIFER L
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:CUEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 RUFFIN RD SUITE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-6602
Mailing Address - Country:US
Mailing Address - Phone:858-384-6284
Mailing Address - Fax:858-384-6453
Practice Address - Street 1:3645 RUFFIN RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1875
Practice Address - Country:US
Practice Address - Phone:858-384-6284
Practice Address - Fax:858-384-6453
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)