Individual
MS. JACQUELYN R. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
(562) 437-5072
Mailing address
200 PINE AVE, LONG BEACH, CA 90802-3041
(562) 243-2976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95719
CA
104100000X
Social Worker
Primary
95719
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/08/2016
Last updated
06/26/2023
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