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Organization

JESSICA CERUTTI, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CERUTTI LCSW (OWNER)
(626) 559-0552
Entity
Organization

Contact information

Practice address
254 S DE LACEY AVE, SUITE B, PASADENA, CA 91105-2006
(626) 559-0552
(323) 430-8878
Mailing address
254 S DE LACEY AVE, SUITE B, PASADENA, CA 91105-2006
(626) 559-0552
(323) 430-8878

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS29869
CA

Other

Enumeration date
08/11/2016
Last updated
08/11/2016
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