Individual
LETICIA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 HAWTHORNE BLVD, SUITE 202, HAWTHORNE, CA 90250-2366
(323) 573-1128
(310) 645-0023
Mailing address
11616 HAWTHORNE BLVD, SUITE 202, HAWTHORNE, CA 90250-2366
(323) 573-1128
(310) 645-0023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
708 INTERN NUMBER
CA
106H00000X
Marriage & Family Therapist
77598 INTERN NUMBER
CA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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