Individual provider · Type 1 NPI

Anna Marie Defelice

Mental Health Counselor · Corona, CA

NPI number 1629354915 Active

Practice location

2275 S Main St Ste 201
Corona, CA 92882-5303

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629354915

Anna Marie Defelice's National Provider Identifier is 1629354915, issued on Oct 31, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corona, CA. The record was last updated on Oct 31, 2011.