Provider Demographics
NPI:1922592443
Name:JANSSEN, AMERICA SOMMER (CERTIFICATION)
Entity Type:Individual
Prefix:
First Name:AMERICA
Middle Name:SOMMER
Last Name:JANSSEN
Suffix:
Gender:F
Credentials:CERTIFICATION
Other - Prefix:
Other - First Name:SOMMER
Other - Middle Name:
Other - Last Name:JANSSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFICATION
Mailing Address - Street 1:9758 CHARLEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1823
Mailing Address - Country:US
Mailing Address - Phone:424-274-2908
Mailing Address - Fax:
Practice Address - Street 1:9758 CHARLEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1823
Practice Address - Country:US
Practice Address - Phone:424-274-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIWA1351101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor