Individual
SEQUOIA SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4000
Mailing address
2615 S MILLER ST STE 106, SANTA MARIA, CA 93455-1775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
16396
CA
Other
Enumeration date
10/30/2019
Last updated
05/03/2024
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