Campuzano, Ivonne Thelma

Campuzano, Ivonne Thelma is an sole proprietor health care provider with primary practice located at 611 Wilshire Blvd 9Th Floor, Unit #574, Los Angeles CA 90017. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Campuzano, Ivonne Thelma can be contacted via phone (213) 955-7250.

Contact Information

Primary practice address
611 Wilshire Blvd 9Th Floor, Unit #574 Los Angeles CA 90017
Phone: (213) 955-7250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X AMFT109225 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT109225 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT123631 California

Profile Details

NPI number 1043786502
LBN Legal business name Campuzano, Ivonne Thelma
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2018
Last updated Jan 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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