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Organization
DEPARTMENT OF MENTAL HEALTH, LONG BEACH
Active
Organization
DEPARTMENT OF MENTAL HEALTH, LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAVIOLA AVILA (SOCIAL WORK INTERN)
(805) 415-2207
Entity
Organization
Contact information
Practice address
1975 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 218-4044
Mailing address
1975 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 218-4044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
09/20/2007
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