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Individual

JENELLE EGENIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
536 W VISTA WAY # A, VISTA, CA 92083-5704
(760) 758-1650
Mailing address
40335 WINCHESTER RD STE E242, TEMECULA, CA 92591-5500

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
Primary
CA
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/09/2017
Last updated
10/18/2025
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