Organization · Type 2 NPI
Nueva Creacion de Dios
Mental Health Counselor · Lynwood, CA
NPI number
1093532301
Active
Practice location
4270 Acacia Ave Pico Rivera Ca 90660, 4311 Olanda St
Lynwood, CA 92062
Mailing address
611 Harding Ave
Los Angeles, CA 90022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1093532301
Nueva Creacion de Dios's National Provider Identifier is 1093532301, issued on Sep 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lynwood, CA. The record was last updated on Sep 26, 2024.