Provider Demographics
NPI:1982304531
Name:JUDITH A. VERDUZCO, LICENSED CLINICAL SOCIAL WORKER PROF. CORP.
Entity Type:Organization
Organization Name:JUDITH A. VERDUZCO, LICENSED CLINICAL SOCIAL WORKER PROF. CORP.
Other - Org Name:MONARCHS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ALCIRA
Authorized Official - Last Name:VERDUZCO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:818-741-1221
Mailing Address - Street 1:3156 FOOTHILL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-4261
Mailing Address - Country:US
Mailing Address - Phone:818-741-1221
Mailing Address - Fax:818-688-8020
Practice Address - Street 1:3156 FOOTHILL BLVD STE C
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-4261
Practice Address - Country:US
Practice Address - Phone:818-741-1221
Practice Address - Fax:818-688-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty