Individual
ANASTASIYA EKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140
(323) 205-7088
Mailing address
14050 CHERRY AVE STE R, FONTANA, CA 92337-2002
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103312
CA
101YM0800X
Mental Health Counselor
Primary
122640
CA
101YM0800X
Mental Health Counselor
ASW103312
CA
1041C0700X
Clinical Social Worker
122640
CA
Other
Enumeration date
10/26/2021
Last updated
06/08/2025
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