Individual
CARMEN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11303 W WASHINGTON BLVD STE 027, CULVER CITY, CA 90066-6003
(310) 486-6667
Mailing address
6330 RUGBY AVE, HUNTINGTON PARK, CA 90255-4066
(213) 222-3804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/14/2015
Last updated
02/10/2026
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