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Organization
NUEVA CREACION DE DIOS
Active
Organization
NUEVA CREACION DE DIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA NERI LMFT (EXECUTIVE DIRECTOR)
(323) 434-5710
Entity
Organization
Contact information
Practice address
4270 ACACIA AVE PICO RIVERA CA 90660, 4311 OLANDA ST, LYNWOOD, CA 92062
(323) 434-5710
Mailing address
611 HARDING AVE, LOS ANGELES, CA 90022
(323) 434-5710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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