| Brave Hearts Marriage And Family Therapy, Inc. | |
|
1404 E 1st St Apt 10 Long Beach CA 90802-8209 | |
| (323) 471-3822 | |
| Not Available |
| Full Name | Brave Hearts Marriage And Family Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1404 E 1st St Apt 10, Long Beach, California |
| Authorized Official Name and Position | Caroline Olsen-van Stone (CEO) |
| Authorized Official Contact | 3234713822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Hearts Marriage And Family Therapy, Inc. 1404 E 1st St Apt 10 Long Beach CA 90802-8209 Ph: (323) 471-3822 | Brave Hearts Marriage And Family Therapy, Inc. 1404 E 1st St Apt 10 Long Beach CA 90802-8209 Ph: (323) 471-3822 |
| NPI Number | 1396412375 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396412375 | NPI | - | NPPES |
| LMFT113632 | Other | CA | BBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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