Individual
VANESSA ANNE-MARIE SEPUL-AZCARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, HC, SC, LMHC-LP
Contact information
Practice address
120 BOERUM PL APT 3A, BROOKLYN, NY 11201-6280
(760) 840-7316
Mailing address
139 PACIFIC AVE, SOLANA BEACH, CA 92075-1143
(760) 840-7316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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