ELLEN M HAYENGA

SAN JOSE, CA
NPI1538292602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  34513)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- ELLEN M HAYENGA
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: 408-292-9353
Mailing Address
-- ELLEN M HAYENGA
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: