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NPI Profile for JENYFER DIAZ MANZANO in SAN BERNARDINO, CA.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
School |
101YS0200X |
| NPI Number | 1952129785 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/01/2024 | |
| Last updated | 10/01/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JENYFER DIAZ MANZANO
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JENYFER DIAZ MANZANO