Individual
DINA ROSE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
500 LEMON PEPPER PL, WENDELL, NC 27591-8948
(510) 504-2919
Mailing address
500 LEMON PEPPER PL, WENDELL, NC 27591-8948
(510) 504-2919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102426
CA
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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