person
Jonathan Evanculla
Mental Health Counselor in Los Angeles, California
NPI 1740840214

Jonathan Evanculla is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Jonathan Evanculla practices in Los Angeles, CA. The NPI Number for Jonathan Evanculla is 1740840214 and holds a License No. 103106 (California).

The current practice location address for Jonathan Evanculla is 4211 Avalon Blvd, Los Angeles, CA and can be reached out via phone at 323-233-0425.

Location: 4211 Avalon Blvd, Los Angeles, CA, 90011-5622
person
Provider Profile Details
NPI Number
1740840214
Provider Name
Jonathan Evanculla
Credential
Provider Entity Type
Individual
Gender
Male
Address
4211 Avalon Blvd, Los Angeles, CA, 90011-5622
Phone Number
323-233-0425
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4211 Avalon Blvd
City
State
Zip
90011-5622
Phone Number
323-233-0425
Fax Number
person
Provider Business Mailing Address Details
Address
4211 Avalon Blvd
City
State
Zip
90011-5622
Phone Number
323-233-0425
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
103106 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
103106 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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