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
CAROLYNWICKERSHAM Nurse Practitioner (NP) 107393671295002682California Board of Registered Nursing (NP and RN)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
MARIAGARCIA Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1588177513102236Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes