| Inner Child Therapy Corp | |
|
7560 Corbin Ave Unit 5 Reseda CA 91335-2425 | |
| (702) 239-7700 | |
| Not Available |
| Full Name | Inner Child Therapy Corp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7560 Corbin Ave Unit 5, Reseda, California |
| Authorized Official Name and Position | Mehdi Anthonty Owliaie (OWNER) |
| Authorized Official Contact | 7022397700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Child Therapy Corp 7560 Corbin Ave Unit 5 Reseda CA 91335-2425 Ph: (702) 239-7700 | Inner Child Therapy Corp 7560 Corbin Ave Unit 5 Reseda CA 91335-2425 Ph: (702) 239-7700 |
| NPI Number | 1558104208 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558104208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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