Individual
BLANCA LUZ MANCILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW CANDIDATE
Contact information
Practice address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111
(858) 633-4100
Mailing address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 633-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
06/14/2018
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