Provider Demographics
NPI:1639960487
Name:AINSWORTH, VERONIQUE (PPSC)
Entity type:Individual
Prefix:
First Name:VERONIQUE
Middle Name:
Last Name:AINSWORTH
Suffix:
Gender:F
Credentials:PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CONRAD DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-1437
Mailing Address - Country:US
Mailing Address - Phone:619-668-5750
Mailing Address - Fax:
Practice Address - Street 1:3900 CONRAD DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-1437
Practice Address - Country:US
Practice Address - Phone:619-668-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool