Provider Demographics
NPI:1023641081
Name:JENNIFER CHOKEMESIL, LMFT, MARRIAGE AND FAMILY THERAPY INC.
Entity type:Organization
Organization Name:JENNIFER CHOKEMESIL, LMFT, MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHOKEMESIL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-808-3719
Mailing Address - Street 1:4030 PALOS VERDES DR N STE 106
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-2560
Mailing Address - Country:US
Mailing Address - Phone:310-808-3719
Mailing Address - Fax:
Practice Address - Street 1:4030 PALOS VERDES DR N STE 106
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-2560
Practice Address - Country:US
Practice Address - Phone:310-808-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty