Individual
ALYSSA LAUREN URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15017 BODGER AVE, HAWTHORNE, CA 90250-8475
(310) 463-9588
Mailing address
15017 BODGER AVE, HAWTHORNE, CA 90250-8475
(310) 463-9588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
93610
CA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
06/10/2024
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