Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003052986 |
---|---|
Provider Name | Stephanie Velbis |
First Address | Chula Vista, CA 91911-6618 |
Second Address | Chula Vista, CA 91911-6618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2008 |
Last Update Date | 26/12/2008 |