Healthcare Provider Details

I. General information

NPI: 1669366183
Provider Name (Legal Business Name): LIANNE MARLEN ALMARALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11627 BROOKSHIRE AVE
DOWNEY CA
90241-4911
US

IV. Provider business mailing address

610 BIG DALTON AVE
LA PUENTE CA
91746-1953
US

V. Phone/Fax

Practice location:
  • Phone: 562-904-3564
  • Fax:
Mailing address:
  • Phone: 626-688-5180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: