Individual provider · Type 1 NPI

Yelena Staseyeva

Mental Health Counselor · Reseda, CA

NPI number 1104159482 Active

Practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

1232 N Orange Grove Ave
West Hollywood, CA 90046-5328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104159482

Yelena Staseyeva's National Provider Identifier is 1104159482, issued on Sep 17, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reseda, CA. The record was last updated on Sep 17, 2009.