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Anny Leidy Mogollon
Mental Health Counselor in Santa Cruz, California
NPI 1205498292

Anny Leidy Mogollon is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Anny Leidy Mogollon practices in Santa Cruz, CA. The NPI Number for Anny Leidy Mogollon is 1205498292 and holds a License No. (California).

The current practice location address for Anny Leidy Mogollon is 380 Encinal St Ste 200, Santa Cruz, CA and can be reached out via phone at 831-469-1700 and via fax at 831-425-1905.

Location: 380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205498292
Provider Name
Anny Leidy Mogollon
Credential
Provider Entity Type
Individual
Gender
Female
Address
380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
Provider Enumeration Date
07/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Encinal St Ste 200
City
Santa Cruz
State
California
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
person
Provider Business Mailing Address Details
Address
380 Encinal St Ste 200
City
Santa Cruz
State
California
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
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...
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