Provider Demographics
NPI:1235677246
Name:ALANZY, JENNIFER (MFTI)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ALANZY
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 E PALMDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4883
Mailing Address - Country:US
Mailing Address - Phone:661-233-8400
Mailing Address - Fax:
Practice Address - Street 1:1607 E PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4883
Practice Address - Country:US
Practice Address - Phone:661-233-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist