Jennifer Fernanda Vallecillo
NPI #1003370586 in San Fernando, California
Provider Information
- NPI Number
- 1003370586
- Entity Type
- Individual
- Name
- Jennifer Fernanda Vallecillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Aug 9, 2022
Practice Location
- Address
- 566 S BRAND BLVD
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-4002
- Phone
- (818) 898-0223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Counselor - Mental Health — Mental Health |
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