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Kenny Italo Purizaga Orejuela
Mental Health Counselor in Berkeley, California
NPI 1770366403

Kenny Italo Purizaga Orejuela is a Mental Health Counselor based in Berkeley, CA and is specialized in Mental Health. Kenny Italo Purizaga Orejuela practices in Berkeley, CA. The NPI Number for Kenny Italo Purizaga Orejuela is 1770366403 and holds a License No. (California).

The current practice location address for Kenny Italo Purizaga Orejuela is 2222 Bancroft Way Spc 4300, Berkeley, CA and can be reached out via phone at 510-642-9494. You can also correspond with Kenny Italo Purizaga Orejuela through the mailing address at 2222 BANCROFT WAY SPC 4300, BERKELEY, CA - 94720-4300 (mailing address contact number: 510-642-9494).

Location: 2222 Bancroft Way Spc 4300, Berkeley, CA, 94720-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770366403
Provider Name
Kenny Italo Purizaga Orejuela
Credential
Provider Entity Type
Individual
Gender
Male
Address
2222 Bancroft Way Spc 4300, Berkeley, CA, 94720-4300
Phone Number
510-642-9494
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 Bancroft Way Spc 4300
City
Berkeley
State
California
Zip
94720-4300
Phone Number
510-642-9494
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Bancroft Way Spc 4300
City
Berkeley
State
California
Zip
94720-4300
Phone Number
510-642-9494
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
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