Chintella, Jenissa Dawn

Chintella, Jenissa Dawn is an sole proprietor health care provider with primary practice located at 4337 Blackwood St. , Newubry Park CA 91320. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Chintella, Jenissa Dawn can be contacted via phone (909) 709-2459.

Contact Information

Primary practice address
4337 Blackwood St. Newubry Park CA 91320
Phone: (909) 709-2459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1488 South Carolina

Profile Details

NPI number 1326398991
LBN Legal business name Chintella, Jenissa Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2012
Last updated Dec 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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