Provider Demographics
NPI:1477071249
Name:ALVAREZ ALCEDO, HELLEN VANESSA (MSW)
Entity Type:Individual
Prefix:
First Name:HELLEN
Middle Name:VANESSA
Last Name:ALVAREZ ALCEDO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13931 VAN NESS AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-2941
Mailing Address - Country:US
Mailing Address - Phone:323-768-8018
Mailing Address - Fax:310-768-4170
Practice Address - Street 1:13931 VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-2941
Practice Address - Country:US
Practice Address - Phone:310-768-8018
Practice Address - Fax:310-768-4170
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health