Melissa Bolivar Escobar
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982154118
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1982154118
- Entity type
- Individual (NPI-1)
- Name
- Melissa Bolivar Escobar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2016
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 100244 | CA | Yes |
Practice location
11845 W Olympic Blvd Ste 1050wLos Angeles, CA 90064-5046
Phone 888-588-8995
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Other practice locations
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