Individual
MRS. ELLEN VEENSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-7257
(818) 243-5431
Mailing address
312 E CEDAR AVE, UNIT J, BURBANK, CA 91502-1463
(616) 560-6674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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