Basic Information
| Provider Information | |||||||||
| NPI: | 1033481619 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAVARETTE | ||||||||
| FirstName: | INEZ | ||||||||
| MiddleName: | ROCHELLE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | ASW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1556 S. SULTANA AVE. | ||||||||
| Address2: | |||||||||
| City: | ONTARIO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9094186923 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 333 S BEAUDRY AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900171466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132413841 | ||||||||
| FaxNumber: | 2132413305 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2012 | ||||||||
| LastUpdateDate: | 02/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 98661 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041S0200X | N | Behavioral Health & Social Service Providers | Social Worker | School |
No ID Information.