Gregory A Walston MFT

NPI 1073646626 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073646626
Gender Male
Enumeration Date 03/13/2007
Last Updated 09/29/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
14411 VANOWEN ST
VAN NUYS CA, 91405-4038, US
Phone (818) 989-7475
Fax (818) 901-0781
Business Location
6626 FRANKLIN AVE
#314
LOS ANGELES CA, 90028-4759, US
Phone (818) 825-4904
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 38843
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According to our database, Gregory A Walston MFT NPI is 1073646626, taxonomy code is 106H00000X and license number is 38843, license state is located at California. Gregory A Walston MFT physically located at 14411 Vanowen St, Van Nuys CA, 91405-4038. NPI Number Gregory A Walston MFT has the Individual type.

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1073646626 NPI number is provided on an as is basis without warranty of any kind. 1073646626 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory A Walston MFT are for informational purposes only.