Provider Demographics
NPI:1851649602
Name:JAUREGUI ORNELAS, CECILIA
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:JAUREGUI ORNELAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 JENKINS WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1731
Mailing Address - Country:US
Mailing Address - Phone:510-235-7652
Mailing Address - Fax:
Practice Address - Street 1:3917 JENKINS WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1731
Practice Address - Country:US
Practice Address - Phone:510-235-7652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical