Individual provider · Type 1 NPI

Jacquelyn Alyssa Villasenor, ASW

Mental Health Counselor · North Hills, CA

NPI number 1104492057 Active

Practice location

15305 Rayen St
North Hills, CA 91343-5117

Fax (818) 893-4509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800X99538 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1104492057

Jacquelyn Alyssa Villasenor, ASW's National Provider Identifier is 1104492057, issued on Jun 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Hills, CA. The record was last updated on Jun 30, 2023.