JEAN THERESE VERGARA LAO NPI 1639732696

NPI Information

NPI: 1639732696
Provider Name: JEAN THERESE VERGARA LAO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA
ZIP 90005
Phone: (626) 684-0496
Get Directions

Jean Therese Vergara Lao is a mental health counselor in Los Angeles, CA. Jean Therese Vergara Lao NPI is 1639732696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA
ZIP 90005-355
Phone: (626) 684-0496

The enumeration date for this NPI number is 4/16/2019 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	1041C0700X	Social Worker	Clinical	109171	CALIFORNIA	No
3	225400000X	Rehabilitation Practitioner				No
4	101YM0800X	Counselor	Mental Health	ASW10971	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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