Purizaga Orejuela, Kenny Italo

Purizaga Orejuela, Kenny Italo is an sole proprietor health care provider with primary practice located at 2222 Bancroft Way Spc 4300 , Berkeley CA 94720-4300. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Purizaga Orejuela, Kenny Italo can be contacted via phone (510) 642-9494.

Contact Information

Primary practice address
2222 Bancroft Way Spc 4300 Berkeley CA 94720-4300
Phone: (510) 642-9494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770366403
LBN Legal business name Purizaga Orejuela, Kenny Italo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2023
Last updated Aug 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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