| Centered Individual & Family Counseling Inc | |
|
2716 S Vermont Ave Unit 9 Los Angeles CA 90007-2671 | |
| (310) 489-5322 | |
| Not Available |
| Full Name | Centered Individual & Family Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2716 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Kathryn Bryan (CEO/OWNER) |
| Authorized Official Contact | 3238109233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Individual & Family Counseling Inc 2716 S Vermont Ave Ste 9 Los Angeles CA 90007-2594 Ph: (323) 810-9233 | Centered Individual & Family Counseling Inc 2716 S Vermont Ave Unit 9 Los Angeles CA 90007-2671 Ph: (310) 489-5322 |
| NPI Number | 1235512088 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 7416390307 |
|---|---|
| Medicare Enrollment ID | O20240207003524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235512088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 43235 (California) | Primary |
| Provider Name | Kathryn Bryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689841629 PECOS PAC ID: 8325481211 Enrollment ID: I20240207003568 |
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