Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ASW63151 | CA |
Y | 1041C0700X | Clinical Social Worker | LCSW81501 | CA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1033551809 |
---|---|
Provider Name | Alicia Morales |
First Address | Los Angeles, CA 90022 |
Second Address | Los Angeles, CA 90022-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2013 |
Last Update Date | 29/03/2021 |