Individual
MR. EUGENIO VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT INTERN
Contact information
Practice address
5420 N FIGUEROA ST, HIGHLAND PARK, CA 90042-4118
(323) 999-2404
Mailing address
5420 N FIGUEROA ST, HIGHLAND PARK, CA 90042-4118
(323) 999-2402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
52600
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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