Individual
JUAN CARLOS COCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 W OLYMPIC BLVD STE 6006TH, LOS ANGELES, CA 90015-3809
(323) 999-2404
Mailing address
1625 W OLYMPIC BLVD STE 6006TH, LOS ANGELES, CA 90015-3809
(323) 999-2404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW102289
CA
104100000X
Social Worker
Primary
ACSW102289
CA
Other
Enumeration date
08/05/2021
Last updated
01/12/2024
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