| NPI Details | |
|---|---|
| NPI | 1295016962 |
| Gender | Female |
| Enumeration Date | 09/07/2011 |
| Last Updated | 08/06/2015 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 237 N CENTRAL AVE STE B GLENDALE CA, 91203-2531, US |
|
| Phone | (818) 547-9544 |
| Fax | |
| Business Location | |
|---|---|
| 11150 W OLYMPIC BLVD STE 760 LOS ANGELES CA, 90064-1855, US |
|
| Phone | (310) 383-5148 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | California |
| License Number | IM 68304 |
| Remove 1295016962 NPI Number | |
According to our database, Ellen Arthur Eggebroten M.A., LMFT NPI is 1295016962, taxonomy code is 101YM0800X and license number is IM 68304, license state is located at California. Ellen Arthur Eggebroten M.A., LMFT physically located at 237 N Central Ave Ste B, Glendale CA, 91203-2531. NPI Number Ellen Arthur Eggebroten M.A., LMFT has the Individual type.
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1295016962 NPI number is provided on an as is basis without warranty of any kind. 1295016962 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Arthur Eggebroten M.A., LMFT are for informational purposes only.
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