Organization
NATALIYA PANCHENKO LCSW
Active
Other names
Nataliya Panchenko
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA PANCHENKO (CEO/LCSW)
(650) 539-8689
Entity
Organization
Contact information
Practice address
851 CHERRY AVE STE 27406, SAN BRUNO, CA 94066-2900
(650) 539-8689
(650) 636-9434
Mailing address
851 CHERRY AVE STE 27406, SAN BRUNO, CA 94066-2900
(650) 539-8689
(650) 636-9434
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
UNKNOWN
CA
Enumeration date
12/07/2020
Last updated
12/07/2020
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