Louella Ilog is a Counselor based in Pleasanton, CA. Louella Ilog practices in Pleasanton, CA. The NPI Number for Louella Ilog is 1780089706 and holds a License No. (California).
The current practice location address for Louella Ilog is 5674 Stoneridge Dr, Pleasanton, CA and can be reached out via phone at 925-520-0005.
Location: 5674 Stoneridge Dr, Pleasanton, CA, 94588-8592
Provider Profile Details
NPI Number
1780089706
Provider Name
Louella Ilog
Credential
Provider Entity Type
Individual
Gender
Female
Address
5674 Stoneridge Dr, Pleasanton, CA, 94588-8592
Phone Number
925-520-0005
Fax Number
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
5674 Stoneridge Dr
City
State
Zip
94588-8500
Phone Number
925-520-0005
Fax Number
Provider Business Mailing Address Details
Address
5674 Stoneridge Dr
City
State
Zip
94588-8500
Phone Number
925-520-0005
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
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