| Janice Derderian Licensed Clinical Social Worker Inc | |
|
1661 Golden Rain Rd Seal Beach CA 90740-4907 | |
| (562) 795-6300 | |
| Not Available |
| Full Name | Janice Derderian Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1661 Golden Rain Rd, Seal Beach, California |
| Authorized Official Name and Position | Janice Derderian (OWNER) |
| Authorized Official Contact | 5627956300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Derderian Licensed Clinical Social Worker Inc Po Box 2685 Seal Beach CA 90740-1685 Ph: () - | Janice Derderian Licensed Clinical Social Worker Inc 1661 Golden Rain Rd Seal Beach CA 90740-4907 Ph: (562) 795-6300 |
| NPI Number | 1700072717 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700072717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7388 (California) | Primary |
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