Provider Demographics
NPI:1730922956
Name:YUCEL, CEREN
Entity type:Individual
Prefix:
First Name:CEREN
Middle Name:
Last Name:YUCEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CEREN
Other - Middle Name:
Other - Last Name:SENYUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:790 E COLORADO BLVD FL 9
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2193
Mailing Address - Country:US
Mailing Address - Phone:626-354-6440
Mailing Address - Fax:
Practice Address - Street 1:6043 ROLOFF WAY
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4544
Practice Address - Country:US
Practice Address - Phone:916-559-1065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)