Provider Demographics
NPI:1346128857
Name:COVARRUBIAS, JENIFER MARIE
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:MARIE
Last Name:COVARRUBIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14084 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-8374
Mailing Address - Country:US
Mailing Address - Phone:626-523-8519
Mailing Address - Fax:
Practice Address - Street 1:4996 LA SIERRA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-2612
Practice Address - Country:US
Practice Address - Phone:951-525-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist