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Ivan Bustamante
Mental Health Counselor in El Monte, California
NPI 1346720679

Ivan Bustamante is a Mental Health Counselor based in El Monte, CA and is specialized in Mental Health. Ivan Bustamante practices in El Monte, CA. The NPI Number for Ivan Bustamante is 1346720679 and holds a License No. ASW90514 (California).

The current practice location address for Ivan Bustamante is 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA and can be reached out via phone at 626-993-3000.

Location: 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA, 91731-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346720679
Provider Name
Ivan Bustamante
Credential
Provider Entity Type
Individual
Gender
Male
Address
11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA, 91731-3229
Phone Number
626-993-3000
Fax Number
Provider Enumeration Date
08/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11429 Valley Boulevard, El Monte, Ca 91731
City
El Monte
State
California
Zip
91731
Phone Number
626-993-3000
Fax Number
person
Provider Business Mailing Address Details
Address
11429 Valley Boulevard, El Monte, Ca 91731
City
El Monte
State
California
Zip
91731
Phone Number
626-993-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW90514 (California)
Definition
Definition to come...
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