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Organization
PRIMAVERA COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization
PRIMAVERA COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VIRGEN ELIAS LCSW (DIRECTOR)
(562) 380-1376
Entity
Organization
Contact information
Practice address
11110 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-3602
(562) 380-1376
Mailing address
6475 E PACIFIC COAST HWY # 418, LONG BEACH, CA 90803-4201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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