Provider Demographics
NPI:1891488342
Name:JENNA MARKER CHILD AND FAMILY THERAPY CORPORATION
Entity Type:Organization
Organization Name:JENNA MARKER CHILD AND FAMILY THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:ALYN
Authorized Official - Last Name:MARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-230-0338
Mailing Address - Street 1:22287 MULHOLLAND HWY # 193
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5157
Mailing Address - Country:US
Mailing Address - Phone:323-230-0338
Mailing Address - Fax:
Practice Address - Street 1:10380 WILSHIRE BLVD SUITE 1902
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:323-230-0338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty