Provider Demographics
NPI:1639065568
Name:IOVINE, JESSICA JULIET (LMFT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:JULIET
Last Name:IOVINE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 CENTURY PARK E STE 1600
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-1661
Mailing Address - Country:US
Mailing Address - Phone:310-595-0819
Mailing Address - Fax:
Practice Address - Street 1:1880 CENTURY PARK E STE 1600
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-1661
Practice Address - Country:US
Practice Address - Phone:310-595-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153858106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist