Individual
AIDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S CENTRAL AVE STE 600, GLENDALE, CA 91204-2548
(855) 501-1004
(818) 396-8109
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
102650
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT127958
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2007
Last updated
07/25/2024
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