Individual provider · NPI-1
Yasuyo Abo
Social Worker, Clinical · Los Angeles, CA
NPI number1093364234
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1093364234
- Entity type
- Individual (NPI-1)
- Name
- Yasuyo Abo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2019
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 129398 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 91586 | CA | |
| 104100000X | Social Worker | 91586 | CA | |
| 225400000X | Rehabilitation Practitioner | – | CA |
Practice location
231 E 3rd St Ste G106Los Angeles, CA 90013-1493
Phone 213-473-3035
Mailing address
231 E 3rd St Ste G106Los Angeles, CA 90013-1493
Phone 213-473-3035
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