| Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora | |
|
3625 E Thousand Oaks Blvd Ste 151 Westlake Village CA 91362-3558 | |
| (310) 486-8842 | |
| Not Available |
| Full Name | Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3625 E Thousand Oaks Blvd Ste 151, Westlake Village, California |
| Authorized Official Name and Position | Corey Hirsch (SHAREHOLDER) |
| Authorized Official Contact | 3104868842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora 3625 E Thousand Oaks Blvd Ste 151 Westlake Village CA 91362-3558 Ph: (310) 486-8842 | Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora 3625 E Thousand Oaks Blvd Ste 151 Westlake Village CA 91362-3558 Ph: (310) 486-8842 |
| NPI Number | 1629664768 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629664768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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