Individual
DR. JUANITA B. CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
439 W 97TH ST, LOS ANGELES, CA 90003-3968
(323) 754-2856
(323) 754-1843
Mailing address
8120 CHASE AVE, LOS ANGELES, CA 90045-2708
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16086
CA
1041C0700X
Clinical Social Worker
LCS5372
CA
Other
Enumeration date
03/28/2007
Last updated
10/03/2008
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