Individual
MRS. ANDREA ELISABET MASDEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4633
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW84896
CA
101YM0800X
Mental Health Counselor
ASW84896
CA
1041C0700X
Clinical Social Worker
Primary
103624
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/07/2009
Last updated
09/02/2021
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