Individual
EMMANUEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12600 BRADDOCK DR APT 118, LOS ANGELES, CA 90066-6740
(909) 501-4688
Mailing address
12600 BRADDOCK DR APT 118, LOS ANGELES, CA 90066-6740
(909) 501-4688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16451
CA
101YP2500X
Professional Counselor
Primary
16451
CA
Other
Enumeration date
09/29/2021
Last updated
09/20/2024
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