180 Urban Counseling Licensed Clinical Social Work Corp.
Social Worker, Clinical in Long Beach, CA. Organization (NPI-2).
NPI number1750028908
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1750028908
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Urban Counseling Licensed Clinical Social Work Corp.
- Organization subpart
- No
- Enumeration date
- May 18, 2022
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- 180 Urban Counseling (Doing Business As)
Practice location
4508 Atlantic Ave Ste A517Long Beach, CA 90807-1520
Phone 202-681-2660 · Fax 562-512-6337
Mailing address
4508 Atlantic Ave Ste A517Long Beach, CA 90807-1520
Phone 202-681-2660 · Fax 562-512-6337
Authorized official
Kelia Parker
Owner
2026812660
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