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Individual

JESSICA REYNAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 654-3950
Mailing address
1063 TULARE DR, COSTA MESA, CA 92626-2112

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC 3238
CA

Other

Enumeration date
02/07/2014
Last updated
10/09/2019
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