Individual
HEIDI VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(213) 620-5712
Mailing address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(213) 620-5712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12271
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/17/2020
Last updated
10/28/2022
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