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Organization

PASADENA UNIFIED SCHOOL DISTRICT

Active
Other names
PUSD Mental Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERICA KARLINE VILLALPANDO LCSW 27714 (DIRECTOR)
(626) 396-5920
Entity
Organization

Contact information

Practice address
1520 N RAYMOND AVE BLDG 2-7, PASADENA, CA 91103-1819
(626) 396-5920
(626) 791-6251
Mailing address
2046 N. ALLEN AVE, ALTADENA, CA 91001-3424
(626) 396-5920
(626) 791-6251

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7567
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/19/2007
Last updated
04/07/2020
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