Stephanie Astudillo Jimenez

Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).

NPI number1164082392

StatusActive

Last updated in NPPESJun 12, 2023

Details

NPI: 1164082392
Entity type: Individual (NPI-1)
Name: Stephanie Astudillo Jimenez
Sex: Female
Sole proprietor: No
Enumeration date: Jun 19, 2019
Certification date: Jun 12, 2023
Last updated: Jun 12, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	â€“	â€“	Yes
101YM0800X	Counselor, Mental Health	â€“	â€“
106S00000X	Behavior Technician	â€“	â€“
175T00000X	Peer Specialist	â€“	â€“
390200000X	Student in an Organized Health Care Education/Training Program	â€“	â€“

Other names

Stephanie Astudillo (Former Name)

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Phone 213-241-3841 Â· Fax 213-241-3305

Mailing address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Phone 213-241-3841 Â· Fax 213-241-3305

Other practice locations

2696 E 56th St Apt 3
Long Beach, CA 90805-5029

Phone 562-298-6839

1410 E Cruces St
Wilmington, CA 90744-2123

Phone 562-298-6839

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