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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY JANET PALENCIA DIAZ

Active Sole Proprietor

IVY JANET PALENCIA DIAZ is a Professional Counselor healthcare provider located in LYNWOOD, California. NPI 1861744351 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LYNWOOD, CA

Registration Details

NPI Number
1861744351
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2012 (13.859913496756 yrs)
Last Updated
May 15, 2020
Licenses
PCCI: 1879 (CA)
LPCC7674 (CA)
Sole Proprietor
Yes

Practice Information

Address
2610 INDUSTRY WAY
LYNWOOD, CA, 902624283
Browse CA providers · Browse ZIP 90262
Phone
3106674070
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in LYNWOOD, CA

Name Credential NPI
CELIA KETCHAM LEEWOOD M.A., APCC 1922559822
SHANTIL STANSBURY 1689186033
ANDRIA JEH'SHAMMAH SCOTT 1811602691
NATALIE SERRANO MA 1639954993
KIARA ALONDRA ROLON 1962289736
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.