Individual
BRENDA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 MORENA BLVD, SAN DIEGO, CA 92110-3889
(619) 398-0355
Mailing address
9171 TOWNE CENTRE DR STE 215, SAN DIEGO, CA 92122-1236
(949) 864-2365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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