Individual
ARIEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
PO BOX 1012, SOUTH GATE, CA 90280-1012
(213) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
116558
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2018
Last updated
07/21/2023
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