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Jennifer Fernanda Vallecillo
Mental Health Counselor in San Fernando, California
NPI 1003370586

Jennifer Fernanda Vallecillo is a Mental Health Counselor based in Canoga Park, CA and is specialized in Mental Health. Jennifer Fernanda Vallecillo practices in San Fernando, CA. The NPI Number for Jennifer Fernanda Vallecillo is 1003370586 and holds a License No. (California).

The current practice location address for Jennifer Fernanda Vallecillo is 566 S Brand Blvd, San Fernando, CA and can be reached out via phone at 818-898-0223.

Location: 566 S Brand Blvd, San Fernando, CA, 91304-6928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003370586
Provider Name
Jennifer Fernanda Vallecillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
566 S Brand Blvd, San Fernando, CA, 91304-6928
Phone Number
818-898-0223
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
person
Provider Business Mailing Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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