Healthcare Provider Details

I. General information

NPI: 1336542422
Provider Name (Legal Business Name): DONALD R ESSEX LPCC, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 03/10/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 1/2 S BRONSON AVE
LOS ANGELES CA
90018
US

IV. Provider business mailing address

PO BOX 191962
LOS ANGELES CA
90019
US

V. Phone/Fax

Practice location:
  • Phone: 909-268-0993
  • Fax: 310-855-0138
Mailing address:
  • Phone: 404-786-9063
  • Fax: 310-398-5690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4995
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4995
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number693
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00116134
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: