Individual
ALYSHA RENEE JACOBO-VILLALVAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,ASW
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW135011
CA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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