Individual
CHRISTINE PALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 GRISWOLD AVE, SAN FERNANDO, CA 91340-2105
(747) 500-9405
Mailing address
762 GRISWOLD AVE, SAN FERNANDO, CA 91340-2105
(747) 500-9405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI50320226
CA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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