Psychcounsel Llc

NPI 1265840482 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1265840482
Enumeration Date 07/31/2014
Last Updated 07/31/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name REBECCA REBECCA
Position CHIEF EXECUTIVE OFFICER
Phone (310) 882-6805
Fax
Practice Location
1112 OCEAN DR
SUITE 102
MANHATTAN BEACH CA, 90266-5448, US
Phone (310) 882-6805
Fax
Business Location
12001 VENTURA PL
SUITE 203
STUDIO CITY CA, 91604-2626, US
Phone (310) 882-6805
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 45901
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According to our database, Psychcounsel Llc NPI is 1265840482, taxonomy code is 106H00000X and license number is MFC 45901, license state is located at California. Psychcounsel Llc physically located at 1112 Ocean Dr, Manhattan Beach CA, 90266-5448. NPI Number 1033115704 has the healthcare provider type.

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1265840482 NPI number is provided on an as is basis without warranty of any kind. 1265840482 is maintained by the National Plan & Provider Enumeration System. The contents of Psychcounsel Llc are for informational purposes only.