Individual
ANNETH JOANNA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
115748
CA
1041C0700X
Clinical Social Worker
115748
CA
Other
Enumeration date
08/01/2022
Last updated
06/22/2023
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