Individual
BRENDA JACQUELINE TELLEZ-OLMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
100 FARMLAND AVE, MERCED, CA 95340-8632
(209) 384-5533
Mailing address
100 FARMLAND AVE, MERCED, CA 95340-8632
(209) 384-5533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7093
CA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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