person
Ivy Janet Palencia Diaz
Professional Counselor in Lynwood, California
NPI 1861744351

Ivy Janet Palencia Diaz is a Professional Counselor based in Lynwood, CA and is specialized in Professional. Ivy Janet Palencia Diaz practices in Lynwood, CA. The NPI Number for Ivy Janet Palencia Diaz is 1861744351 and holds a License No. PCCI: 1879 (California).

The current practice location address for Ivy Janet Palencia Diaz is 2610 Industry Way, Lynwood, CA and can be reached out via phone at 310-667-4070.

Location: 2610 Industry Way, Lynwood, CA, 90262-4283
person
Provider Profile Details
NPI Number
1861744351
Provider Name
Ivy Janet Palencia Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
2610 Industry Way, Lynwood, CA, 90262-4283
Phone Number
310-667-4070
Fax Number
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2610 Industry Way
City
State
Zip
90262-4283
Phone Number
310-667-4070
Fax Number
person
Provider Business Mailing Address Details
Address
2610 Industry Way
City
State
Zip
90262-4283
Phone Number
310-667-4070
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PCCI: 1879 (California)
Definition
Definition to come...
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