| Edison Counseling Center | |
|
879 W 190th St Ste 400 Gardena CA 90248-4223 | |
| (310) 853-2758 | |
| (909) 456-8094 |
| Full Name | Edison Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 879 W 190th St Ste 400, Gardena, California |
| Authorized Official Name and Position | Arease N Edison (OWNER) |
| Authorized Official Contact | 3108532758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison Counseling Center 879 W 190th St Ste 400 Gardena CA 90248-4223 Ph: (310) 853-2758 | Edison Counseling Center 879 W 190th St Ste 400 Gardena CA 90248-4223 Ph: (310) 853-2758 |
| NPI Number | 1932732997 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932732997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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