Individual
JESSICA MARIE VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13210 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4510
(562) 574-2637
Mailing address
13210 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4510
(562) 574-2637
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT42336
CA
Other
Enumeration date
10/11/2022
Last updated
09/02/2025
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