person
Amancay Ledezma, ASW
Counselor in Los Angeles, California
NPI 1114540143

Amancay Ledezma is a Counselor based in Los Angeles, CA. Amancay Ledezma practices in Los Angeles, CA and has the professional credentials of ASW. The NPI Number for Amancay Ledezma is 1114540143 and holds a License No. LCSW28777 (California).

The current practice location address for Amancay Ledezma is 12560 W Washington Blvd, Los Angeles, CA and can be reached out via phone at 323-813-6218 and via fax at 888-308-0861.

Location: 12560 W Washington Blvd, Los Angeles, CA, 90066
person
Provider Profile Details
NPI Number
1114540143
Provider Name
Amancay Ledezma
Credential
ASW
Provider Entity Type
Individual
Gender
Female
Address
12560 W Washington Blvd, Los Angeles, CA, 90066
Phone Number
323-813-6218
Fax Number
888-308-0861
Provider Enumeration Date
05/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12560 W Washington Blvd
City
State
Zip
90066
Phone Number
323-813-6218
Fax Number
888-308-0861
person
Provider Business Mailing Address Details
Address
12560 W Washington Blvd
City
State
Zip
90066
Phone Number
323-813-6218
Fax Number
888-308-0861
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
94315 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
LCSW28777 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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