Provider Demographics
NPI:1538318977
Name:BANADA, RONNA CHARISSA TOREJA (LCSW, PPSC)
Entity Type:Individual
Prefix:MS
First Name:RONNA CHARISSA
Middle Name:TOREJA
Last Name:BANADA
Suffix:
Gender:F
Credentials:LCSW, PPSC
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Mailing Address - Street 1:1000 CORPORATE CENTER DR
Mailing Address - Street 2:#650
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7600
Mailing Address - Country:US
Mailing Address - Phone:323-526-4016
Mailing Address - Fax:323-526-4791
Practice Address - Street 1:9101 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2405
Practice Address - Country:US
Practice Address - Phone:526-801-4626
Practice Address - Fax:526-801-4630
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA287161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health