Individual provider · Type 1 NPI

Amancay Ledezma, ASW

Counselor · Los Angeles, CA

NPI number 1114540143 Active

Practice location

12560 W Washington Blvd
Los Angeles, CA 90066

Call (323) 813-6218 Map

Fax (888) 308-0861

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XLCSW28777 (CA)
Counselor Primary 101Y00000X94315 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114540143

Amancay Ledezma, ASW's National Provider Identifier is 1114540143, issued on May 26, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 12, 2023.