Healthcare Provider Details

I. General information

NPI: 1427252600
Provider Name (Legal Business Name): VANESSA PADILLA AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13033 PENN ST # 800
WHITTIER CA
90602-1603
US

IV. Provider business mailing address

13033 PENN ST # 800
WHITTIER CA
90602-1603
US

V. Phone/Fax

Practice location:
  • Phone: 626-487-1153
  • Fax:
Mailing address:
  • Phone: 626-487-1153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT142881
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: