Carl S Andaya, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1861692444
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1861692444
- Entity type
- Individual (NPI-1)
- Name
- Carl S Andaya
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2007
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS12166 | CA | Yes |
Practice location
4760 W Sunset BlvdLos Angeles, CA 90027-6063
Phone 323-783-4011
Mailing address
4760 W Sunset BlvdLos Angeles, CA 90027-6063
Phone 323-783-4011
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