Healthcare Provider Details

I. General information

NPI: 1740374412
Provider Name (Legal Business Name): NAOMI SEKELY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6214 DREXEL AVE
LOS ANGELES CA
90048-4702
US

IV. Provider business mailing address

3017 SCOTLAND ST
LOS ANGELES CA
90039-2541
US

V. Phone/Fax

Practice location:
  • Phone: 323-935-5483
  • Fax:
Mailing address:
  • Phone: 323-906-0456
  • Fax: 323-906-9456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCS 3841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: