CorpID/LocID

Practitioner List:

 SOCIAL MODEL RECOVERY SYSTEMS, INC.
 23701 East Fork Road,
 Azusa, CA  91702

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
DENISEHERNANDEZ Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1114484177119021Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
KELLYJOBOARDMAN Licensed Marriage and Family Therapist (LMFT) 1437522430LMFT 97551Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
LindaGonzalez Licensed Clinical Social Worker (LCSW) 1356740476117653Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
LYNETTAHALE Licensed Marriage and Family Therapist (LMFT) 1801920285154477Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes