Individual
JAZMIN LLERENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 PENDIENTE CT APT Q205, SAN DIEGO, CA 92124-3715
(562) 846-5763
Mailing address
3830 PENDIENTE CT APT Q205, SAN DIEGO, CA 92124-3715
(562) 846-5763
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
CA
103TA0700X
Adult Development & Aging Psychologist
—
CA
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
CA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
CA
103TF0000X
Family Psychologist
—
CA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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