Individual
AUTUMN ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 216-2181
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 216-2181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
74584
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
90439
CA
Other
Enumeration date
11/11/2015
Last updated
08/01/2019
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