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JENNIE ALAMILLO

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760871180

Individual Registrant:
 JENNIE  ALAMILLO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1020 EMELINE AVE  SANTA CRUZ, CA 95060-1913 US
Tel: 831-454-4170  Fax: --

Contact information for business:
1400 EMELINE AVE  SANTA CRUZ, CA 95060-1976 US
Tel: 831-454-4170  Fax: 831-454-4663

Registration Information:
NPI: 1760871180
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ92069ZCA01
COUNTY OF SANTA CRUZ MEDI-CAL GROUP#FHC70042FCA01
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ91891ZCA01
COUNTY OF SANTA CRUZ MEDI-CAL GROUP#FHC70044FCA01
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ91892ZCA01




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