Individual provider · Type 1 NPI

Illenia Law Wong, AMFT

Mental Health Counselor · Camarillo, CA

NPI number 1386432227 Active

Practice location

155 Granada St Ste N
Camarillo, CA 93010-7725

Mailing address

235 N Moorpark Rd Ste A PO Box 1097
Thousand Oaks, CA 91360-4343

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT149973 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1386432227

Illenia Law Wong, AMFT's National Provider Identifier is 1386432227, issued on Apr 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Apr 29, 2025.