Provider Information for 1275788002
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CECILIA SANDOVAL SERNA M.A., LMFT
Sex: Female
NPI: 1275788002
Last Updated: 2021-12-14
Certification Date: 2021-12-14
Certification Date: 2021-12-14
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275788002 | ||||||||||||||
| Enumeration Date | 2008-11-20 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 801012 SANTA CLARITA, CA 91380-1012 United States Phone: 818-749-6803 | Fax: | ||||||||||||||
| Primary Practice Address | 21545 CENTRE POINTE PKWY SANTA CLARITA, CA 91350-2947 United States Phone: 661-259-9439 | Fax: | ||||||||||||||
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