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Individual

ANGELICA REFUGIO CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
221 N ARDMORE AVE, LOS ANGELES, CA 90004-4503
(213) 381-3626
(213) 380-8923
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
77291
CA
104100000X
Social Worker
Primary
127402
CA
104100000X
Social Worker
225400000X
Rehabilitation Practitioner
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
09/11/2015
Last updated
12/16/2024
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