Provider Demographics
NPI:1710789854
Name:AVALOS-DEL CID, REBECCA EMMA (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:EMMA
Last Name:AVALOS-DEL CID
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-3507
Mailing Address - Country:US
Mailing Address - Phone:562-746-1657
Mailing Address - Fax:
Practice Address - Street 1:2613 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3201
Practice Address - Country:US
Practice Address - Phone:714-527-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1294781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical