Jennifer Fernanda Vallecillo
Counselor, Mental Health in San Fernando, CA. Individual provider (NPI-1).
NPI number1003370586
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1003370586
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Fernanda Vallecillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2019
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
566 S Brand BlvdSan Fernando, CA 91340-4002
Phone 818-898-0223
Mailing address
24425 Woolsey Canyon Rd Spc 106Canoga Park, CA 91304-6928
Phone 818-331-3816
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All 16 Mental Health Counselor providers in San Fernando · All 909 providers in San Fernando
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