JAILENE STACEY MAZARIEGOS

SAN FERNANDO, CA
NPI1487323390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
JAILENE STACEY MAZARIEGOS
330 N MACLAY AVE STE 206
SAN FERNANDO, CA 91340-2955
Phone number: 818-351-6717
Mailing Address
JAILENE STACEY MAZARIEGOS
6707 COSTELLO AVE
VAN NUYS, CA 91405-4827
Phone number: 818-808-7836