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Provider Information for 1568680569


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CHONDRELLE D CEZERE M.Ed, LPCC


Sex: Female

NPI: 1568680569
Last Updated: 2022-09-14
Certification Date: 2022-09-14

Details

NameValue
NPI1568680569
Enumeration Date2007-04-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 11303 WILSHIRE BLVD
LOS ANGELES, CA 90025-5069
United States

Phone: 310-914-4045 | Fax:
 
Primary Practice Address 3580 WILSHIRE BLVD STE 2000
LOS ANGELES, CA 90010-2533
United States

Phone: 213-381-1250 | Fax:213-383-4803
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthCALPCC6393
No 101YP2500X - Counselor - ProfessionalLA3035
No 171M00000X - Case Manager/Care Coordinator
Yes 101YP2500X - Counselor - ProfessionalCA6393