Individual provider · Type 1 NPI

Mallolo Resendes

Mental Health Counselor · Camarillo, CA

NPI number 1124582655 Active

Practice location

975 Flynn Rd
Camarillo, CA 93012-8704

Call (805) 445-7800 Map

Mailing address

1914 La Puerta Ave
Oxnard, CA 93030-5557

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Behavior Technician 106S00000XD9781671 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124582655

Mallolo Resendes's National Provider Identifier is 1124582655, issued on Jan 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Feb 26, 2021.