Individual
MR. ANDREW ULISES CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
Mailing address
11053 RANCHITO ST, EL MONTE, CA 91731-1431
(323) 551-7784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105051
CA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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