Individual provider · Type 1 NPI

Jean Therese Vergara Lao

Mental Health Counselor · Los Angeles, CA

NPI number 1639732696 Active

Practice location

679 S New Hampshire Ave
Los Angeles, CA 90005-1355

Call (626) 684-0496 Map

Other practice locations

  • 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 · (562) 760-4429

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700X109171 (CA)
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800XASW10971 (CA)

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About NPI 1639732696

Jean Therese Vergara Lao's National Provider Identifier is 1639732696, issued on Apr 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.