Individual
DIANA URENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 993-9311
Mailing address
110 S GARFIELD AVE, MONTEBELLO, CA 90640-3810
(323) 869-9255
(323) 869-9241
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2015
Last updated
01/18/2019
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