Provider Demographics
NPI:1376730671
Name:BARRETO, WILLIAM ERNEST
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ERNEST
Last Name:BARRETO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 S VERMONT AVE
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-1349
Mailing Address - Country:US
Mailing Address - Phone:213-351-2813
Mailing Address - Fax:213-351-2769
Practice Address - Street 1:695 S VERMONT AVE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-1349
Practice Address - Country:US
Practice Address - Phone:213-351-2813
Practice Address - Fax:213-351-2769
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health