Individual
EILEEN ZICCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 AVENIDA VAQUERO, SAN CLEMENTE, CA 92673-2901
(520) 686-1857
Mailing address
621 AVENIDA VAQUERO, SAN CLEMENTE, CA 92673-2901
(520) 686-1857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC9666
CA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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