Individual
DAISY VELAZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 416-1111
Mailing address
4850 PEDLEY RD, JURUPA VALLEY, CA 92509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103905
CA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
103905
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/03/2021
Last updated
02/17/2026
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