Individual
LETICIA ELVA CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 S STATE ST STE 6, SAN JACINTO, CA 92583-4924
(951) 658-7122
Mailing address
1300 W FLORIDA AVE STE B, HEMET, CA 92543-4628
(951) 658-7122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-KUJIXT
CA
Other
Enumeration date
01/09/2019
Last updated
01/30/2024
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