Individual
ADILENE CISNEROS JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12010
CA
101YM0800X
Mental Health Counselor
3272
CA
101YP2500X
Professional Counselor
Primary
15104
CA
Other
Enumeration date
02/03/2016
Last updated
01/30/2025
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