| Julia-elise Childs Therapy: A Licensed Clinical Social Worker Corp. | |
|
200 E Del Mar Blvd Ste 160 Pasadena CA 91105-2507 | |
| (626) 765-5308 | |
| Not Available |
| Full Name | Julia-elise Childs Therapy: A Licensed Clinical Social Worker Corp. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 E Del Mar Blvd Ste 160, Pasadena, California |
| Authorized Official Name and Position | Julia-elise W Childs (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6267655308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia-elise Childs Therapy: A Licensed Clinical Social Worker Corp. 281 E Colorado Blvd # 2395 Pasadena CA 91101-1903 Ph: () - | Julia-elise Childs Therapy: A Licensed Clinical Social Worker Corp. 200 E Del Mar Blvd Ste 160 Pasadena CA 91105-2507 Ph: (626) 765-5308 |
| NPI Number | 1043086945 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043086945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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