Individual
ALEJANDRA ANTILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W MAIN ST, MERCED, CA 95340-4717
(209) 723-6559
Mailing address
3560 ROANOKE CT, TURLOCK, CA 95382-0521
(209) 262-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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