Most Relevant Information
Provider Data
| NPI Number: | 1003000878 |
| Provider Name: | ELLEN VEENSTRA M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2007 |
| Last Updated: | 09/05/2007 |
Provider Practice Location
1540 E COLORADO ST
GLENDALE
CA
912051514
Practice Location Phone/Fax
| Phone: | 8182447257 |
| Fax: | 8182435431 |
Provider Mailing Location
312 E CEDAR AVE
UNIT J
BURBANK
CA
915021463
Provider Mailing Phone/Fax
| Phone: | 6165606674 |
| Fax: |