Individual
MS. AYA TATEISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8616 LA TIJERA BLVD, SUITE 200, LOS ANGELES, CA 90045-3944
(310) 337-1550
(310) 337-2805
Mailing address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045-3945
(310) 337-1550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
87051
CA
Other
Enumeration date
09/07/2014
Last updated
04/15/2019
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