| First Step Counseling | |
|
624 W 9th St Ste 103 San Pedro CA 90731-3158 | |
| (310) 938-4575 | |
| (424) 264-5478 |
| Full Name | First Step Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 624 W 9th St Ste 103, San Pedro, California |
| Authorized Official Name and Position | Monica Bezzi Demas (OWNER) |
| Authorized Official Contact | 3109384575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Step Counseling 624 W 9th St Ste 103 San Pedro CA 90731-3158 Ph: (310) 938-4575 | First Step Counseling 624 W 9th St Ste 103 San Pedro CA 90731-3158 Ph: (310) 938-4575 |
| NPI Number | 1649610601 |
|---|---|
| Provider Enumeration Date | 07/04/2013 |
| Last Update Date | 03/13/2014 |
| Medicare PECOS PAC ID | 9234371436 |
|---|---|
| Medicare Enrollment ID | O20130819000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649610601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 77371 (California) | Primary |
| Provider Name | Lawrence Braslow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588794986 PECOS PAC ID: 5395041024 Enrollment ID: I20160307001839 |
| Provider Name | Jill Wussler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023372752 PECOS PAC ID: 8527364280 Enrollment ID: I20160307002692 |
| Provider Name | Jeffrey Nishii |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952516981 PECOS PAC ID: 4981900222 Enrollment ID: I20160311001101 |
| Provider Name | Bertha A Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215052832 PECOS PAC ID: 3779853791 Enrollment ID: I20170826000434 |
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