Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bianca Jaelyn Collazo

Individual provider Marriage & Family Therapist · NPI 1720633183

Bianca Jaelyn Collazo is a Marriage & Family Therapist in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

12099 W Washington Blvd
Los Angeles, CA 90066-5882
Phone: (818) 355-6780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1720633183
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESDecember 5, 2019

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