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) 1184193773 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MYESHAALEXANDER Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1760946560 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
RILEYOSBORN Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1427728690 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes