Provider Demographics
NPI:1366819716
Name:FLORES, MONICA MELISSA (MA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MELISSA
Last Name:FLORES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 N LOREN AVE
Mailing Address - Street 2:TRLR 4
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2213
Mailing Address - Country:US
Mailing Address - Phone:626-833-3403
Mailing Address - Fax:
Practice Address - Street 1:812 N LOREN AVE
Practice Address - Street 2:TRLR 4
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2213
Practice Address - Country:US
Practice Address - Phone:626-833-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool