Provider Demographics
NPI:1801563689
Name:ARACELI BEJAR LUA LICENSED CLINICAL SOCIAL WORKER INC.
Entity type:Organization
Organization Name:ARACELI BEJAR LUA LICENSED CLINICAL SOCIAL WORKER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJAR LUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-514-9636
Mailing Address - Street 1:PO BOX 932
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0932
Mailing Address - Country:US
Mailing Address - Phone:661-514-9636
Mailing Address - Fax:
Practice Address - Street 1:1612 17TH AVE
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-1505
Practice Address - Country:US
Practice Address - Phone:661-514-9636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty