| Natalia Boucher Psychotherapy | |
|
1452 26th St Suite 102 Santa Monica CA 90404-3084 | |
| (310) 584-7821 | |
| Not Available |
| Full Name | Natalia Boucher Psychotherapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1452 26th St, Santa Monica, California |
| Authorized Official Name and Position | Natalia Lorena Boucher (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3104357883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalia Boucher Psychotherapy 1230 24th St Apt 1 Santa Monica CA 90404-1333 Ph: (310) 435-7883 | Natalia Boucher Psychotherapy 1452 26th St Suite 102 Santa Monica CA 90404-3084 Ph: (310) 584-7821 |
| NPI Number | 1225563810 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225563810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 99323 (California) | Primary |
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