| Carol A. Polevoi, Lmft/wellness Coach, Apc | |
|
16055 Ventura Blvd Ste 717 Encino CA 91436-2610 | |
| (818) 889-3905 | |
| Not Available |
| Full Name | Carol A. Polevoi, Lmft/wellness Coach, Apc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16055 Ventura Blvd Ste 717, Encino, California |
| Authorized Official Name and Position | Carol Ann Polevoi (PRESIDENT) |
| Authorized Official Contact | 8188893905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Polevoi, Lmft/wellness Coach, Apc 4930 Balboa Blvd Unit 260734 Encino CA 91426-7037 Ph: (818) 889-3905 | Carol A. Polevoi, Lmft/wellness Coach, Apc 16055 Ventura Blvd Ste 717 Encino CA 91436-2610 Ph: (818) 889-3905 |
| NPI Number | 1366006645 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366006645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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