Doctor Name: | MISS MISHA JAMALL |
NPI Number: | 1063836013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW |
License Number: | |
Business Practice Address: | 4401 Santa Anita Ave Ste 101 El Monte, CA - 917311611 |
Business Phone Number: | 6262461715 |
Business Fax Number: | 6262461703 |
Mailing Address: | 4401 Santa Anita Ave Ste 101, EL MONTE |
State: | CA |
Postal Code: | 917311611 |
Phone Number: | 6262461715 |
Fax Number: | 6262461703 |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |