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ALYSSA MICHELLE ARMENTA
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1619521952
Individual Registrant: ALYSSA MICHELLE ARMENTA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
205 PASADENA AVE SOUTH PASADENA, CA 91030-2919 US
Tel: 323-344-5536 Fax: --
Tel: 323-344-5536 Fax: --
Contact information for business:
205 PASADENA AVE SOUTH PASADENA, CA 91030-2919 US
Tel: 323-344-5536 Fax: --
Tel: 323-344-5536 Fax: --
Registration Information:
NPI: 1619521952
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 104100000X | Behavioral Health & Social Service Providers Social Worker | ||
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CA | ASW89829 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDI-CAL | 7368 | CA | 01 |
| MEDI-CAL | 7708 | CA | 01 |
| MEDI-CAL | 7667 | CA | 01 |
| MEDI-CAL | 7814 | CA | 01 |
