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Vanessa Icazbalceta-soto
Professional Counselor in Los Angeles, California
NPI 1083264519

Vanessa Icazbalceta-soto is a Professional Counselor based in San Diego, CA and is specialized in Professional. Vanessa Icazbalceta-soto practices in Los Angeles, CA. The NPI Number for Vanessa Icazbalceta-soto is 1083264519 and holds a License No. 15849 (California).

The current practice location address for Vanessa Icazbalceta-soto is 1200 Wilshire Blvd Ste 200, Los Angeles, CA and can be reached out via phone at 213-481-7464 and via fax at 213-481-7147.

Location: 1200 Wilshire Blvd Ste 200, Los Angeles, CA, 92111-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083264519
Provider Name
Vanessa Icazbalceta-soto
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 Wilshire Blvd Ste 200, Los Angeles, CA, 92111-1805
Phone Number
213-481-7464
Fax Number
213-481-7147
Provider Enumeration Date
09/17/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1200 Wilshire Blvd Ste 200
City
Los Angeles
State
California
Zip
90017-1930
Phone Number
213-481-7464
Fax Number
213-481-7147
person
Provider Business Mailing Address Details
Address
1200 Wilshire Blvd Ste 200
City
Los Angeles
State
California
Zip
90017-1930
Phone Number
213-481-7464
Fax Number
213-481-7147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
15849 (California)
Definition
Definition to come...
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