Jacqueline Wollin

NPI 1972952141 · on the registry since 2016

Practice

Address: 11600 Eldridge Ave
Lake View Terrace, CA 91342
Phone: (661) 305-0361
Organisation at this address: Phoenix House Foundation
Phoenix Houses Of Los Angeles, Inc.
Phoenix Houses Of Los Angeles, Inc.
Phoenix House California - Lake View Terrace
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 161

Additional practice sites

1530 S Olive St, Los Angeles, CA

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California