Provider Demographics
NPI:1336565860
Name:INDULA - ALLEN, JENNIFER (LCSW118923)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:INDULA - ALLEN
Suffix:
Gender:F
Credentials:LCSW118923
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3204
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-3204
Mailing Address - Country:US
Mailing Address - Phone:209-839-7583
Mailing Address - Fax:
Practice Address - Street 1:PO BOX HH
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93942-6032
Practice Address - Country:US
Practice Address - Phone:831-625-4697
Practice Address - Fax:831-625-4524
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health