| Jennifer Robertson, LPCC | |
|
5743 Corsa Ave Ste 102, Westlake Village, CA 91362-4070 | |
| (310) 400-6531 | |
| Not Available |
| Full Name | Jennifer Robertson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5743 Corsa Ave Ste 102, Westlake Village, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699333211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13787 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 13787 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Robertson, LPCC 5743 Corsa Ave Ste 102, Westlake Village, CA 91362-4070 Ph: (310) 400-6531 | Jennifer Robertson, LPCC 5743 Corsa Ave Ste 102, Westlake Village, CA 91362-4070 Ph: (310) 400-6531 |
Cameron Reis, MS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2660 Townsgate Rd Ste 520, Westlake Village, CA 91361 Phone: 805-222-6155 | |
Kristan Poole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5655 Lindero Canyon Rd Ste 302, Westlake Village, CA 91362 Phone: 818-997-6876 | |
Miok Spencer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2660 Townsgate Rd Ste 740a, Westlake Village, CA 91361 Phone: 805-490-3477 | |
Erica Chambers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3967 E Thousand Oaks Blvd Ste 250, Westlake Village, CA 91362 Phone: 805-368-4116 | |
Cicely Abellera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31111 Agoura Rd Ste 250, Westlake Village, CA 91361 Phone: 805-652-6763 | |
Julia De La Torre, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Townsgate Rd Ste 210, Westlake Village, CA 91361 Phone: 323-828-6052 | |
Nancy Jacqueline Maletz, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4055 E Thousand Oaks Blvd Ste 215, Westlake Village, CA 91362 Phone: 805-532-1412 |