Ellen Kotkin Licensed Clinical Social Worker Professional Corp
NPI #1992485627 in Irvine, California
Provider Information
- NPI Number
- 1992485627
- Entity Type
- Organization
- Organization Name
- Ellen Kotkin Licensed Clinical Social Worker Professional Corp
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 16755 VON KARMAN AVE STE 200
- City
- Irvine
- State
- California
- ZIP Code
- 92606-4963
- Phone
- (949) 929-9244
Authorized Official
- Name
- ELLEN KOTKIN
- Title
- CEO
- Phone
- (949) 929-9244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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