Bloom-Genevitz, Jacqueline Leah

Bloom-Genevitz, Jacqueline Leah is an sole proprietor health care provider with primary practice located at 12340 Santa Monica Blvd Ste 214 , Los Angeles CA 90025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bloom-Genevitz, Jacqueline Leah can be contacted via phone (310) 582-1513.

Contact Information

Primary practice address
12340 Santa Monica Blvd Ste 214 Los Angeles CA 90025
Phone: (310) 582-1513
Fax: (818) 394-6910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 43614 California

Profile Details

NPI number 1073652327
LBN Legal business name Bloom-Genevitz, Jacqueline Leah
Credentials PSYD, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated May 19th, 2022 - about 4 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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