Individual provider · Type 1 NPI

Andrew Theodore Ezpeleta, ACSW

Mental Health Counselor · Mission Viejo, CA

NPI number 1881178952 Active

Practice location

27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468

Mailing address

PO Box 676
Loma Linda, CA 92354-0676

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X84637 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1881178952

Andrew Theodore Ezpeleta, ACSW's National Provider Identifier is 1881178952, issued on Sep 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mission Viejo, CA. The record was last updated on Sep 24, 2018.