Doctor Name: | MISS LETICIA VELAZQUEZ |
NPI Number: | 1124244074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW |
License Number: | ASW12473 |
Business Practice Address: | 502 Euclid Ave Suite #103 National City, CA - 919502931 |
Business Phone Number: | 6192675115 |
Business Fax Number: | 6192674657 |
Mailing Address: | 502 Euclid Ave, Suite #103 NATIONAL CITY |
State: | CA |
Postal Code: | 919502931 |
Phone Number: | 6192675115 |
Fax Number: | 6192674657 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ASW12473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |