Individual
CARLOS R VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
225 W BROADWAY STE 155, GLENDALE, CA 91204-1332
(818) 441-7800
Mailing address
PO BOX 291083, LOS ANGELES, CA 90029-9083
(424) 309-2641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5800
CA
101YP2500X
Professional Counselor
Primary
5800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC5800
BOARD OF BEHAVIOR SCIENCES
CA
Enumeration date
09/21/2014
Last updated
03/03/2026
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