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Individual

DENICE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(818) 359-6715
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(818) 359-6715

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
172V00000X
Community Health Worker
Primary
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-2633765
MEDI-CAL
CA
Enumeration date
07/28/2021
Last updated
08/11/2026
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