CorpID/LocID

Practitioner List:

 ROOTS, INC. DBA ROOTS THROUGH RECOVERY
 3939 Atlantic Avenue, Suite 102,
 Long Beach, CA  90807

Filter Practitioner Type:

First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
ANDREIDOKUKIN Physician (MD or DO) 1770715575A 110631Medical Board of California (MD or DO)Yes
DIANAKANG Licensed Clinical Psychologist (LCP) 121501698527101California Board of Psychology (LCP)Yes
KENYAJOHNSON Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1932985595ASW111670Board of Behavioral Sciences (LCSW, LPCC, LMFT)No
KRISTASMALL Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1568003184ASW93754Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
LESLIEFERNANDEZ Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1659959278AMFT141988Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
LESLIEFERNANDEZ Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1942759931AMFT 141988Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
LORIWAY Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1043973944AMFT126392Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MELISSAOLMEDO Licensed Professional Clinical Counselor (LPCC) 1356062608LPCC14504Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MILTONCAMEJO Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1285320598AMFT120811Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MOJANSABERI Nurse Practitioner (NP) 135693322095025451California Board of Registered Nursing (NP and RN)No
SHEENABACKER Nurse Practitioner (NP) 121569133295025449California Board of Registered Nursing (NP and RN)Yes
WILMERRIVAS Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1740894419ASW101779Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes