Individual
ANISSA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(866) 988-2243
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518176379
STONEHENGE CASAE
CA
01
—
941735271
TELECARE CORP
—
Enumeration date
02/15/2022
Last updated
05/24/2023
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