Individual
ANN CATHERINE EICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
(310) 715-5149
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
82681
CA
101YM0800X
Mental Health Counselor
ASW34031
CA
1041C0700X
Clinical Social Worker
Primary
82681
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/13/2007
Last updated
09/21/2021
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