Individual
LARISSA GUADALUPE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14129 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5308
Mailing address
14129 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC17336
CA
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/16/2023
Last updated
09/18/2024
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