Individual
KENNAE ORISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 E 4TH ST, SANTA ANA, CA 92705-3804
(818) 602-1513
Mailing address
14866 LONG VIEW DR, FONTANA, CA 92337-2601
(840) 262-5965
(840) 262-5965
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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