Syverson, Jenna

Syverson, Jenna is an individual health care provider with primary practice located at 151 Kalmus Dr Ste 150 , Costa Mesa CA 92626-5988. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Syverson, Jenna can be contacted via phone (949) 549-1397.

Contact Information

Primary practice address
151 Kalmus Dr Ste 150 Costa Mesa CA 92626-5988
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY34343 California

Profile Details

NPI number 1760039853
LBN Legal business name Syverson, Jenna
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated May 24th, 2024 - about 2 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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