KENNY ITALO PURIZAGA OREJUELA

CONCORD, CA
NPI1770366403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-08-16
Last Update Date2025-10-24
Business Address
KENNY ITALO PURIZAGA OREJUELA
1420 WILLOW PASS RD # 200
CONCORD, CA 94520-5823
Phone number: 925-646-5480
Mailing Address
KENNY ITALO PURIZAGA OREJUELA
1420 WILLOW PASS RD # 200
CONCORD, CA 94520-5823
Phone number: 925-646-5480