CorpID/LocID

Practitioner List:

 PHOENIX HOUSES OF LOS ANGELES, INC.
 11600 Eldridge Avenue,
 Lake View Terrace, CA  91342

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
BenjaminHess Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 112475404920023Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
Claudia Buenrostro Lares Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1134692999149184Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JAMESMONGE Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1063935799106974Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JENNYSANCHEZ Licensed Marriage and Family Therapist (LMFT) 1922444827100222Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JordanGoldstein Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 179030074725061Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MICHAELCARDELLA Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1861198533146528Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes