Provider Demographics
NPI:1871365726
Name:MUNOZ MELENDEZ, MARIA ASUSENA (AMFT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ASUSENA
Last Name:MUNOZ MELENDEZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7822 WHITSETT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90001-3146
Mailing Address - Country:US
Mailing Address - Phone:323-307-6036
Mailing Address - Fax:
Practice Address - Street 1:2512 ARTESIA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3265
Practice Address - Country:US
Practice Address - Phone:310-974-0533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health