| Evolution Counseling Services | |
|
2716 N Broadway Ste 205 Los Angeles CA 90031-2635 | |
| (323) 285-0290 | |
| Not Available |
| Full Name | Evolution Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2716 N Broadway Ste 205, Los Angeles, California |
| Authorized Official Name and Position | Yadira Haydee Enriquez (OWNER) |
| Authorized Official Contact | 3232850290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Counseling Services 2716 N Broadway Ste 205 Los Angeles CA 90031-2635 Ph: (323) 285-0290 | Evolution Counseling Services 2716 N Broadway Ste 205 Los Angeles CA 90031-2635 Ph: (323) 285-0290 |
| NPI Number | 1003454760 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003454760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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