Individual
ALICIA MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
Mailing address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
28904
CA
101YM0800X
Mental Health Counselor
ASW28904
CA
104100000X
Social Worker
28904
CA
1041C0700X
Clinical Social Worker
Primary
LCSW66107
CA
Other
Enumeration date
09/29/2010
Last updated
11/18/2018
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