Individual
DR. JANNA MARIA CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
16465 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336-1242
(909) 244-9593
(833) 903-0337
Mailing address
262 N LOS ROBLES AVE APT 114, PASADENA, CA 91101-1534
(817) 863-1085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34680
CA
Other
Enumeration date
11/20/2023
Last updated
06/11/2024
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