Individual
AMANCAY LEDEZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
12560 W WASHINGTON BLVD, LOS ANGELES, CA 90066
(323) 813-6218
(888) 308-0861
Mailing address
12560 W WASHINGTON BLVD, LOS ANGELES, CA 90066
(323) 813-6218
(888) 308-0861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94315
CA
261QM0850X
Adult Mental Health Clinic/Center
LCSW28777
CA
Other
Enumeration date
05/26/2020
Last updated
10/12/2023
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