Provider Demographics
NPI:1366944738
Name:MUNOZ, MARIA CONCEPCION (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CONCEPCION
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 HERBERT ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5203
Mailing Address - Country:US
Mailing Address - Phone:626-665-1411
Mailing Address - Fax:
Practice Address - Street 1:12101 HERBERT ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5203
Practice Address - Country:US
Practice Address - Phone:626-665-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20345101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty