Individual
ANISSA ELIZABETH ORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 SEACLIFF CT UNIT 3, VENTURA, CA 93003-6020
(805) 383-3669
Mailing address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
OTHER
CA
Enumeration date
04/07/2009
Last updated
04/07/2009
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