Leslie Jane Guinaugh Supkoff MFT

NPI 1124296280 - Counselor - 101YA0400X

NPI Details
NPI 1124296280
Gender Female
Enumeration Date 02/12/2008
Last Updated 02/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
554 S SAN VICENTE BLVD STE 102
LOS ANGELES CA, 90048-4652, US
Phone (310) 663-4244
Fax
Business Location
251 N SWALL DR
BEVERLY HILLS CA, 90211-1712, US
Phone (310) 271-7764
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number MFC 30843
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According to our database, Ms. Leslie Jane Guinaugh Supkoff MFT NPI is 1124296280, taxonomy code is 101YA0400X and license number is MFC 30843, license state is located at California. Leslie Jane Guinaugh Supkoff MFT physically located at 554 S San Vicente Blvd Ste 102, Los Angeles CA, 90048-4652. NPI Number Leslie Jane Guinaugh Supkoff MFT has the Individual type.

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1124296280 NPI number is provided on an as is basis without warranty of any kind. 1124296280 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Jane Guinaugh Supkoff MFT are for informational purposes only.