Individual
ADELINA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23361 EL TORO ROAD, SUITE 215, LAKE FOREST, CA 92630-6921
(949) 595-0602
(949) 565-0240
Mailing address
23361 EL TORO RD, SUITE 215, LAKE FOREST, CA 92630-6922
(949) 595-0620
(949) 565-0240
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
78199
CA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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