Individual provider · Type 1 NPI

Irene Jannette Godinez

Professional Counselor · Tustin, CA

NPI number 1962008854 Active

Practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

1891 Effie St
Los Angeles, CA 90026-1711

Other practice locations

  • 1891 Effie St, Los Angeles, CA 90026-1711 · (323) 644-2000

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X18337 (CA)

Professional Counselor: Definition to come...

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About NPI 1962008854

Irene Jannette Godinez's National Provider Identifier is 1962008854, issued on Dec 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tustin, CA. The record was last updated on Mar 17, 2025.