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MICHAEL BARRAZA
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1174641302
Individual Registrant: MICHAEL BARRAZA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
4060 WATSON PLAZA DR LAKEWOOD, CA 90712-4033 US
Tel: 562-420-6325 Fax: --
Tel: 562-420-6325 Fax: --
Contact information for business:
4060 WATSON PLAZA DR LAKEWOOD, CA 90712-4033 US
Tel: 562-420-6325 Fax: --
Tel: 562-420-6325 Fax: --
Registration Information:
NPI: 1174641302
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | ||
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | CA | PSY 23994 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
