Organization
BE RESILIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE PARODI LCSW (CEO)
(805) 205-5797
Entity
Organization
Contact information
Practice address
1601 CARMEN DR # 215G, CAMARILLO, CA 93010-3105
(805) 205-5797
Mailing address
1601 CARMEN DR # 215G, CAMARILLO, CA 93010-3105
(805) 205-5797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508982901
NIP NUMBER
CA
Enumeration date
05/09/2018
Last updated
11/27/2022
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