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Evelyn Johana De La Rosa, LCSW88663
Mental Health Counselor in Tustin, California
NPI 1912307687

Evelyn Johana De La Rosa is a Mental Health Counselor based in Tustin, CA and is specialized in Mental Health. Evelyn Johana De La Rosa practices in Tustin, CA and has the professional credentials of LCSW88663. The NPI Number for Evelyn Johana De La Rosa is 1912307687 and holds a License No. ASW72078 (California).

The current practice location address for Evelyn Johana De La Rosa is 1 Hope Dr, Tustin, CA and can be reached out via phone at 714-247-0300 and via fax at 714-259-1598.

Location: 1 Hope Dr, Tustin, CA, 92782-0221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912307687
Provider Name
Evelyn Johana De La Rosa
Credential
LCSW88663
Provider Entity Type
Individual
Gender
Female
Address
1 Hope Dr, Tustin, CA, 92782-0221
Phone Number
714-247-0300
Fax Number
714-259-1598
Provider Enumeration Date
08/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Hope Dr
City
Tustin
State
California
Zip
92782-0221
Phone Number
714-247-0300
Fax Number
714-259-1598
person
Provider Business Mailing Address Details
Address
1 Hope Dr
City
Tustin
State
California
Zip
92782-0221
Phone Number
714-247-0300
Fax Number
714-259-1598
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ASW72078 (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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