Chavez-Mancillas, Ana Luisa

Chavez-Mancillas, Ana Luisa is an sole proprietor health care provider with primary practice located at 1126 N Grand Ave , Covina CA 91724-1551. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Chavez-Mancillas, Ana Luisa can be contacted via phone (626) 967-1667.

Contact Information

Primary practice address
1126 N Grand Ave Covina CA 91724-1551
Phone: (626) 967-1667
Fax: (626) 967-6027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 29534 California
Behavioral Health & Social Service Providers / Pastoral 101YP1600X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW74655

Profile Details

NPI number 1255471231
LBN Legal business name Chavez-Mancillas, Ana Luisa
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Mar 16th, 2022 - about 2 years ago

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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