Provider Demographics
NPI:1427252600
Name:PADILLA, VANESSA (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:PADILLA
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13033 PENN ST # 800
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1603
Mailing Address - Country:US
Mailing Address - Phone:626-487-1153
Mailing Address - Fax:
Practice Address - Street 1:13033 PENN ST # 800
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1603
Practice Address - Country:US
Practice Address - Phone:626-487-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
CAAMFT142881106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No172V00000XOther Service ProvidersCommunity Health Worker