Individual
STEPHANIE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-7086
Mailing address
13788 GOLDEN EAGLE CT, MORENO VALLEY, CA 92553-6035
(951) 385-2761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
17255
CA
Other
Enumeration date
06/22/2022
Last updated
08/27/2024
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