Individual
ARLETTE ADELE LARGE
Active
Individual
ARLETTE ADELE LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW , CADC III,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BII00070619
CA
1041C0700X
Clinical Social Worker
Primary
121367
CA
1041C0700X
Clinical Social Worker
15356
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015097
NCAC I
CA
01
—
121367
BOARD OF BEHAVIORAL HEALTH ( LICENSED CLINICAL SOCIAL WORKER)
CA
01
—
15356
BOARD OF LICENSED SOCIAL WORKERS LCSW
OR
01
—
BII00070619
CADCIII
CA
Enumeration date
01/08/2018
Last updated
09/04/2024
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