person
Jessie Tivao
Mental Health Counselor in Gardena, California
NPI 1144645649

Jessie Tivao is a Mental Health Counselor based in Gardena, CA and is specialized in Mental Health. Jessie Tivao practices in Gardena, CA. The NPI Number for Jessie Tivao is 1144645649 and holds a License No. ASW111726 (California).

The current practice location address for Jessie Tivao is 1045 W Redondo Beach Blvd Fl 3, Gardena, CA and can be reached out via phone at 310-970-5000 and via fax at 323-967-0614.

Location: 1045 W Redondo Beach Blvd Fl 3, Gardena, CA, 90247
person
Provider Profile Details
NPI Number
1144645649
Provider Name
Jessie Tivao
Credential
Provider Entity Type
Individual
Gender
Male
Address
1045 W Redondo Beach Blvd Fl 3, Gardena, CA, 90247
Phone Number
310-970-5000
Fax Number
323-967-0614
Provider Enumeration Date
02/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1045 W Redondo Beach Blvd Fl 3
City
State
Zip
90247-4128
Phone Number
310-970-5000
Fax Number
323-967-0614
person
Provider Business Mailing Address Details
Address
1045 W Redondo Beach Blvd Fl 3
City
State
Zip
90247-4128
Phone Number
310-970-5000
Fax Number
323-967-0614
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ASW111726 (California)
Definition
Definition to come...
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