Individual
ALEJANDRA NOEMI MAZARIEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 E OLYMPIC BLVD FL BVD1, COMMERCE, CA 90022-5147
(323) 869-9255
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
96358
CA
104100000X
Social Worker
96358
CA
1041C0700X
Clinical Social Worker
Primary
119152
CA
1041C0700X
Clinical Social Worker
96358
CA
Other
Enumeration date
12/13/2017
Last updated
10/15/2024
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