Individual
AIMEE DENISE VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11731 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3675
(323) 427-8444
Mailing address
11731 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-6819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW71877
CA
1041C0700X
Clinical Social Worker
Primary
LCSW94228
CA
Other
Enumeration date
08/26/2014
Last updated
05/18/2020
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