| Ken Howard Licensed Clinical Social Worker Cst Inc. | |
|
705 Westmount Drive Unit 301 West Hollywood CA 90069 | |
| (310) 339-5778 | |
| Not Available |
| Full Name | Ken Howard Licensed Clinical Social Worker Cst Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 705 Westmount Drive, West Hollywood, California |
| Authorized Official Name and Position | Kenneth Brian Howard (CEO) |
| Authorized Official Contact | 3103395778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Howard Licensed Clinical Social Worker Cst Inc. 705 Westmount Drive Unit 301 West Hollywood CA 90069 Ph: (310) 339-5778 | Ken Howard Licensed Clinical Social Worker Cst Inc. 705 Westmount Drive Unit 301 West Hollywood CA 90069 Ph: (310) 339-5778 |
| NPI Number | 1598400921 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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