| Jenny Ellingsen Dba Genesis Group | |
|
3150 El Camino Real Suite E Carlsbad CA 92008-2110 | |
| (760) 729-5705 | |
| (760) 632-0223 |
| Full Name | Jenny Ellingsen Dba Genesis Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3150 El Camino Real, Carlsbad, California |
| Authorized Official Name and Position | Jenny Rodelander Ellingsen (DIRECTOR) |
| Authorized Official Contact | 7607295705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Ellingsen Dba Genesis Group 3150 El Camino Real Suite E Carlsbad CA 92008-2110 Ph: (760) 729-5705 | Jenny Ellingsen Dba Genesis Group 3150 El Camino Real Suite E Carlsbad CA 92008-2110 Ph: (760) 729-5705 |
| NPI Number | 1831219773 |
|---|---|
| Provider Enumeration Date | 03/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831219773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | CA# MFC19117 (California) | Primary |
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