Provider Demographics
NPI:1013771120
Name:VERONICA NAJERA
Entity Type:Organization
Organization Name:VERONICA NAJERA
Other - Org Name:VERONICA FERNANDA NAJERA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA FERNANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-961-0628
Mailing Address - Street 1:113 W G ST APT 531
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6096
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4540 KEARNY VILLA RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1564
Practice Address - Country:US
Practice Address - Phone:619-961-0628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAPPY CLEAR MINDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-08
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty