Jorge Canseco, LCSW
Social Worker, Clinical in Huntington Park, CA. Individual provider (NPI-1).
NPI number1114489804
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1114489804
- Entity type
- Individual (NPI-1)
- Name
- Jorge Canseco
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8592 | CA | Yes |
Practice location
2677 Zoe Ave Ste 120Huntington Park, CA 90255-6995
Phone 323-589-1902 · Fax 323-589-1805
Mailing address
2677 Zoe Ave Ste 120Huntington Park, CA 90255-6995
Phone 323-589-1902 · Fax 323-589-1805
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All 55 Clinical Social Worker providers in Huntington Park · All 1,440 providers in Huntington Park
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