Individual
KEYLA MELISSA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
Mailing address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109509
CA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
109509
CA
1041S0200X
School Social Worker
Primary
109509
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/08/2022
Last updated
05/29/2025
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