Individual
ISABEL OCEGUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
Mailing address
1116 N CHICAGO ST, LOS ANGELES, CA 90033-1413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW115807
CA
104100000X
Social Worker
Primary
ASW115807
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2022
Last updated
07/11/2023
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