CorpID/LocID

Practitioner List:

 CASA DE LAS AMIGAS
 169 North Oak Knoll Avenue,
 Pasadena, CA  91101

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
JoseGuerra Licensed Clinical Psychologist (LCP) 1578227161 Board of Behavioral Sciences (LCSW, LPCC, LMFT) 
MAGEDBOTROS Physician (MD or DO) 1619102738 Medical Board of California (MD or DO)Yes
MARIBELLGONZALEZ Licensed Marriage and Family Therapist (LMFT) 1790068310 Board of Behavioral Sciences (LCSW, LPCC, LMFT) 
NELYMEZA Licensed Marriage and Family Therapist (LMFT) 1275612186 Board of Behavioral Sciences (LCSW, LPCC, LMFT) 
VANESSAMADERA Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1033836341 Board of Behavioral Sciences (LCSW, LPCC, LMFT)