MRS. JENNIFER DAWN MASONIS CADC II ICADC A06436
NPI 1043053747
Counselor - Addiction (Substance Use Disorder) in Studio City, CA
Active since June 18, 2024
About Mrs. Jennifer Dawn Masonis Cadc Ii Icadc A06436 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER DAWN MASONIS CADC II ICADC A06436 (NPI 1043053747) is an individual addiction (substance use disorder) provider in Studio City, California and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1043053747
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. JENNIFER DAWN MASONISCredential: CADC II ICADC A06436
Location Address10989 BLUFFSIDE DR APT 3104Studio City, CA 91604-4406
Mailing Address10989 Bluffside Dr Apt 3104Studio City, CA 91604-4406 · (951) 834-8808
Phone(951) 834-8808
Sole ProprietorNo
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1043053747 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
10989 BLUFFSIDE DR APT 3104, Studio City, CA 91604
Other Names 1
Former Name (1)Jennifer Dawn Ballinger
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043053747, enumerated as an "individual" on June 18, 2024.
The provider is located at 10989 BLUFFSIDE DR APT 3104 STUDIO CITY, CA 91604 and the phone number is (951) 834-8808.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
