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Miss Ely Estupinian
Mental Health Counselor in Gardena, California
NPI 1174074207

Ely Estupinian is a Mental Health Counselor based in Santa Ana, CA and is specialized in Mental Health. Ely Estupinian practices in Gardena, CA. The NPI Number for Ely Estupinian is 1174074207 and holds a License No. ASW73457 (California).

The current practice location address for Ely Estupinian is 108 W Victoria St, Gardena, CA and can be reached out via phone at 310-715-2020.

Location: 108 W Victoria St, Gardena, CA, 92703-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174074207
Provider Name
Ely Estupinian
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Victoria St, Gardena, CA, 92703-2128
Phone Number
310-715-2020
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW73457 (California)
Definition
Definition to come...
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