Provider Demographics
NPI:1336933365
Name:HUNT GUDERNATCH, JENNIFER ELISE
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELISE
Last Name:HUNT GUDERNATCH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ELISE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1849 SAWTELLE BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7011
Mailing Address - Country:US
Mailing Address - Phone:818-941-1409
Mailing Address - Fax:
Practice Address - Street 1:1849 SAWTELLE BLVD STE 510
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7011
Practice Address - Country:US
Practice Address - Phone:818-941-1409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist