Doctor Name: | MS. NANCY T. CORONA |
NPI Number: | 1124261003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12450 Van Nuys Blvd Suite 200 Pacoima, CA - 913311391 |
Business Phone Number: | 8188961161 |
Business Fax Number: | 8188965069 |
Mailing Address: | 8935 Burnet Ave Apt 204, NORTH HILLS |
State: | CA |
Postal Code: | 913432396 |
Phone Number: | 8187443852 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 04/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |