Lively, Jennifer Lynn

Lively, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 704 W 8Th St , San Pedro CA 90731-3017. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lively, Jennifer Lynn can be contacted via phone (310) 832-7545.

Contact Information

Primary practice address
704 W 8Th St San Pedro CA 90731-3017
Phone: (310) 832-7545
Fax: (310) 833-8530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1558675934
LBN Legal business name Lively, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2010
Last updated Aug 20th, 2010 - about 16 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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