Jack Nelson Soll M.F.T.

NPI 1023369691 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1023369691
Gender Male
Enumeration Date 09/24/2012
Last Updated 09/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
12011 SAN VICENTE BLVD.,
SUITE 305
LOS ANGELES CA, 90049, US
Phone (310) 471-2210
Fax
Business Location
12011 SAN VICENTE BLVD.,
SUITE 305
LOS ANGELES CA, 90049, US
Phone (310) 471-2210
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC24662
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According to our database, Mr. Jack Nelson Soll M.F.T. NPI is 1023369691, taxonomy code is 106H00000X and license number is MFC24662, license state is located at California. Jack Nelson Soll M.F.T. physically located at 12011 San Vicente Blvd.,, Los Angeles CA, 90049. NPI Number Jack Nelson Soll M.F.T. has the Individual type.

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1023369691 NPI number is provided on an as is basis without warranty of any kind. 1023369691 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Nelson Soll M.F.T. are for informational purposes only.