Healthcare Provider Details

I. General information

NPI: 1376263889
Provider Name (Legal Business Name): JENNIFER ROSE MCGIVERN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 E 1ST ST UNIT 1464
TUSTIN CA
92781-2273
US

IV. Provider business mailing address

340 E 1ST ST # 1464
TUSTIN CA
92781-2200
US

V. Phone/Fax

Practice location:
  • Phone: 949-272-8435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: