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Heather Nicole Perenishko
Professional Counselor in West Covina, California
NPI 1295511335

Heather Nicole Perenishko is a Professional Counselor based in Upland, CA and is specialized in Professional. Heather Nicole Perenishko practices in West Covina, CA. The NPI Number for Heather Nicole Perenishko is 1295511335 and holds a License No. 14324 (California).

The current practice location address for Heather Nicole Perenishko is 1215 W West Covina Pkwy, West Covina, CA and can be reached out via phone at 626-974-0770.

Location: 1215 W West Covina Pkwy, West Covina, CA, 91786-2669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295511335
Provider Name
Heather Nicole Perenishko
Credential
Provider Entity Type
Individual
Gender
Female
Address
1215 W West Covina Pkwy, West Covina, CA, 91786-2669
Phone Number
626-974-0770
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2815
Phone Number
626-974-0770
Fax Number
person
Provider Business Mailing Address Details
Address
1215 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2815
Phone Number
626-974-0770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
14324 (California)
Definition
Definition to come...
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