Individual
MS. CARLY ASHLEY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
4063 WHITTIER BLVD STE 202, LOS ANGELES, CA 90023-2536
(323) 268-2100
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW85386
CA
104100000X
Social Worker
ASW85386
CA
1041C0700X
Clinical Social Worker
ASW85386
CA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
12/01/2016
Last updated
06/11/2019
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