JEREMIAH C BUENROSTRO

PASADENA, CA
NPI1073160214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  120503)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  96364)
Enumeration Date2019-08-22
Last Update Date2024-05-08
Business Address
JEREMIAH C BUENROSTRO
393 E WALNUT ST
PASADENA, CA 91188-1486
Phone number: 877-457-4772
Mailing Address
JEREMIAH C BUENROSTRO
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051