BRENDA JEANETTE CISNEROS NPI 1700253317

NPI Information

NPI: 1700253317
Provider Name: BRENDA JEANETTE CISNEROS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12450 VAN NUYS BLVD
SUITE 100
PACOIMA, CA
ZIP 91331
Phone: (818) 896-8366
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Brenda Jeanette Cisneros is a mental health counselor in Pacoima, CA. Brenda Jeanette Cisneros NPI is 1700253317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12450 VAN NUYS BLVD
SUITE 100
PACOIMA, CA
ZIP 91331-391
Phone: (818) 896-8366

The enumeration date for this NPI number is 8/31/2015 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	104100000X	Social Worker		ASW73239	CALIFORNIA	No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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