Building Lasting Success Together A Professional Psychotherapy Corpora | |
2512 Foothill Blvd La Crescenta CA 91214-3506 | |
(818) 583-7134 | |
Not Available |
Full Name | Building Lasting Success Together A Professional Psychotherapy Corpora |
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Speciality | Psychologist - Clinical |
Location | 2512 Foothill Blvd, La Crescenta, California |
Authorized Official Name and Position | Katherine Enney (OWNER) |
Authorized Official Contact | 8185837134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Building Lasting Success Together A Professional Psychotherapy Corpora 2512 Foothill Blvd La Crescenta CA 91214-3506 Ph: () - | Building Lasting Success Together A Professional Psychotherapy Corpora 2512 Foothill Blvd La Crescenta CA 91214-3506 Ph: (818) 583-7134 |
NPI Number | 1386292951 |
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Provider Enumeration Date | 08/27/2019 |
Last Update Date | 08/27/2019 |
Identifier | Type | State | Issuer |
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1386292951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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