Individual
MR. ABRAHAM NUNEZ TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1730 W CAMERON AVE STE 200, WEST COVINA, CA 91790-2722
(626) 940-4179
Mailing address
1730 W CAMERON AVE STE 200, WEST COVINA, CA 91790-2722
(626) 940-4179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
73097
CA
1041C0700X
Clinical Social Worker
Primary
102046
CA
Other
Enumeration date
12/05/2007
Last updated
11/02/2021
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