Individual
MISS CELESTE C MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4119
(323) 584-3700
(323) 277-4674
Mailing address
2629 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4119
(323) 584-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69881
CA
104100000X
Social Worker
69881
CA
1041C0700X
Clinical Social Worker
69881
CA
Other
Enumeration date
08/16/2010
Last updated
04/26/2023
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