Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LPCC5008 | CA |
N | 101YP2500X | Professional Counselor | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1073763694 |
---|---|
Provider Name | Lorena Orozco-Matyko |
First Address | Carlsbad, CA 92010-2187 |
Second Address | Carlsbad, CA 92008-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 26/06/2020 |