| Blue Chair Family Therapy | |
|
2512 Artesia Blvd Ste 250f Redondo Beach CA 90278-5365 | |
| (424) 255-8483 | |
| Not Available |
| Full Name | Blue Chair Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2512 Artesia Blvd Ste 250f, Redondo Beach, California |
| Authorized Official Name and Position | Amy M Cornwall (CLINICAL THERAPIST/DIRECTOR) |
| Authorized Official Contact | 2133796453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Chair Family Therapy 2512 Artesia Blvd Ste 250f Redondo Beach CA 90278-5365 Ph: (424) 255-8483 | Blue Chair Family Therapy 2512 Artesia Blvd Ste 250f Redondo Beach CA 90278-5365 Ph: (424) 255-8483 |
| NPI Number | 1093460388 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093460388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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