Individual
ALLISON LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2046 ALLEN AVE, ALTADENA, CA 91001-3424
(626) 396-5920
(626) 791-6251
Mailing address
2046 ALLEN AVE, ALTADENA, CA 91001-3424
(626) 396-5920
(626) 791-6251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
67807
CA
1041C0700X
Clinical Social Worker
Primary
82395
CA
1041C0700X
Clinical Social Worker
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2012
Last updated
09/28/2018
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