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11828 Gain St Lake View Terrace CA 91342-7132 | |
(626) 395-7100 | |
(626) 395-7270 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 11828 Gain St, Lake View Terrace, California |
Authorized Official Name and Position | Debbie Manners (PRESIDENT AND CEO) |
Authorized Official Contact | 6263957100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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840 N Avenue 66 Los Angeles CA 90042-1508 Ph: (626) 395-7100 | 11828 Gain St Lake View Terrace CA 91342-7132 Ph: (626) 395-7100 |
NPI Number | 1851958714 |
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Provider Enumeration Date | 05/24/2019 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Identifier | Type | State | Issuer |
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1851958714 | NPI | - | NPPES |