Provider Demographics
NPI:1376892547
Name:SHOLL, JENNA BENSON (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:BENSON
Last Name:SHOLL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BLOSSOM HILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4465
Mailing Address - Country:US
Mailing Address - Phone:408-761-4388
Mailing Address - Fax:
Practice Address - Street 1:250 BLOSSOM HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-4465
Practice Address - Country:US
Practice Address - Phone:408-761-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist