| Cerevity, Licensed Clinical Social Worker, P.c. | |
|
3217 Carson St # 319 Lakewood CA 90712-4006 | |
| (562) 295-6650 | |
| Not Available |
| Full Name | Cerevity, Licensed Clinical Social Worker, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3217 Carson St # 319, Lakewood, California |
| Authorized Official Name and Position | Martha Fernandez (PRESIDENT) |
| Authorized Official Contact | 5622956650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerevity, Licensed Clinical Social Worker, P.c. 3217 Carson St # 319 Lakewood CA 90712-4006 Ph: (562) 418-3659 | Cerevity, Licensed Clinical Social Worker, P.c. 3217 Carson St # 319 Lakewood CA 90712-4006 Ph: (562) 295-6650 |
| NPI Number | 1528871035 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528871035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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