Doctor Name: | ELLEN JENNY SLATON |
NPI Number: | 1023194438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS17094 |
Business Practice Address: | 5762 Bolsa Ave Suite 107 Huntington Beach, CA - 926491172 |
Business Phone Number: | 7148980362 |
Business Fax Number: | 7148933267 |
Mailing Address: | 5762 Bolsa Ave, Suite 107 HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926491172 |
Phone Number: | 7148980362 |
Fax Number: | 7148933267 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCS17094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |