Melissa Marie Banales, LCSW
Social Worker, Clinical in Irwindale, CA. Individual provider (NPI-1).
NPI number1093974735
StatusActive
Last updated in NPPESDec 18, 2017
Details
- NPI
- 1093974735
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa Marie Banales
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2008
- Last updated
- Dec 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW76700 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | 34712 | CA | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
13001 Ramona Blvd Ste EIrwindale, CA 91706-3752
Phone 626-480-8107
Mailing address
1191 W Grand AvePomona, CA 91766-2747
Phone 909-762-5034
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