| Melissa L. Ealba, Licensed Clinical Social Worker, A Professional Corp | |
|
1343 N Grand Ave Ste 210 Covina CA 91724-4043 | |
| (626) 991-5010 | |
| Not Available |
| Full Name | Melissa L. Ealba, Licensed Clinical Social Worker, A Professional Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1343 N Grand Ave Ste 210, Covina, California |
| Authorized Official Name and Position | Melissa L Ealba (GROUP OWNER) |
| Authorized Official Contact | 6269915010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa L. Ealba, Licensed Clinical Social Worker, A Professional Corp 1343 N Grand Ave Ste 210 Covina CA 91724-4043 Ph: () - | Melissa L. Ealba, Licensed Clinical Social Worker, A Professional Corp 1343 N Grand Ave Ste 210 Covina CA 91724-4043 Ph: (626) 991-5010 |
| NPI Number | 1376315986 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376315986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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