Individual
ANNA PANCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W VISTA WAY, 206, VISTA, CA 92083-5732
(760) 724-9112
Mailing address
550 W VISTA WAY, 206, VISTA, CA 92083-5732
(760) 724-9112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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