| Elena Pushin Lcsw | |
|
15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 | |
| (818) 305-4615 | |
| Not Available |
| Full Name | Elena Pushin Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15233 Ventura Blvd Ste 1208, Sherman Oaks, California |
| Authorized Official Name and Position | Elena Pushin (OWNER) |
| Authorized Official Contact | 8183054615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Pushin Lcsw 15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 Ph: (818) 305-4615 | Elena Pushin Lcsw 15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 Ph: (818) 305-4615 |
| NPI Number | 1750754917 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750754917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 26217 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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