Kirstyn Leung
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1366093536
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1366093536
- Entity type
- Individual (NPI-1)
- Name
- Kirstyn Leung
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2019
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 111504 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | CA | |
| 104100000X | Social Worker | – | – |
Practice location
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Mailing address
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
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