Most Relevant Information
Provider Data
| NPI Number: | 1003542630 |
| Provider Name: | YESENIA CHACON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2022 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
1775 CHESTNUT AVE
LONG BEACH
CA
908131674
Practice Location Phone/Fax
| Phone: | 5625998444 |
| Fax: | 5625916134 |
Provider Mailing Location
1775 CHESTNUT AVE
LONG BEACH
CA
908131674
Provider Mailing Phone/Fax
| Phone: | 5625998444 |
| Fax: | 5625916134 |