Individual
JESUS ITZEL VERDUZCO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 30TH ST STE A, SAN DIEGO, CA 92154-3417
(619) 565-2650
Mailing address
1424 30TH ST STE A, SAN DIEGO, CA 92154-3417
(619) 565-2650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16850
CA
Other
Enumeration date
08/14/2018
Last updated
10/30/2024
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