CorpID/LocID

Practitioner List:

 EGGLESTON YOUTH CENTERS, INC., D. B. A. EGGLESTON SUBSTANCE ABUSE AND EDUCATION PROGRAM
 13001 Ramona Boulevard, Suites E & J,
 Irwindale, CA  91706

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
KATIADERDERIAN Licensed Marriage and Family Therapist (LMFT) 1184193773BBS # 132499Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MAURICEZEITLIN Physician (MD or DO) 173020366215243Medical Board of California (MD or DO)Yes
MYESHAALEXANDER Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1760946560116454Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
RILEYOSBORN Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1427728690AMFT # 135981Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
VANESSAGARCIA Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 118405545110736Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes