ELLIANA IXTA MADERA

COMPTON, CA
NPI1922432319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  103120)
Additional Taxonomies225400000X Rehabilitation Practitioner
390200000X Student in an Organized Health Care Education/Training Program
104100000X Social Worker
(Licence: CA  63242)
101YM0800X Counselor, Mental Health
(Licence: CA  63242)
Enumeration Date2013-08-21
Last Update Date2021-08-19
Business Address
ELLIANA IXTA MADERA
509 E ROSECRANS AVE
COMPTON, CA 90221
Phone number: 213-385-5100
Mailing Address
ELLIANA IXTA MADERA
509 E ROSECRANS AVE
COMPTON, CA 90221-2056
Phone number: 213-385-5100