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Organization
ST. ANNE'S
Active
Organization
ST. ANNE'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACPUELINE ZAVALA LCSW (CLINICAL AND ADMINISTRATIVE SITE SU)
(323) 381-2931
Entity
Organization
Contact information
Practice address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 812-9313
Mailing address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 760-6987
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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