Individual
MISS SHRUTI SHENBAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.G.C
Contact information
Practice address
9300 VALLEY CHILDRENS PLACE, MADERA, CA 93636
(559) 353-5976
(559) 353-6711
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-5976
(559) 353-6711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
GC000876
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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