Provider Demographics
NPI:1437376449
Name:CADENAS, MARCELLA DENATA (CA,S,)
Entity Type:Individual
Prefix:MS
First Name:MARCELLA
Middle Name:DENATA
Last Name:CADENAS
Suffix:
Gender:F
Credentials:CA,S,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 S HOBART BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90062-1624
Mailing Address - Country:US
Mailing Address - Phone:323-233-3888
Mailing Address - Fax:323-233-3773
Practice Address - Street 1:5260 S FIGUEROA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3743
Practice Address - Country:US
Practice Address - Phone:323-233-3888
Practice Address - Fax:323-233-3773
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)