Nicole Gershenson Marriage And Family Therapist Inc | |
5535 Balboa Blvd Ste 202 Encino CA 91316-1541 | |
(818) 401-8889 | |
(818) 330-4206 |
Full Name | Nicole Gershenson Marriage And Family Therapist Inc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 5535 Balboa Blvd Ste 202, Encino, California |
Authorized Official Name and Position | Nicole Gershenson (OWNER) |
Authorized Official Contact | 8184018889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nicole Gershenson Marriage And Family Therapist Inc 5535 Balboa Blvd Ste 202 Encino CA 91316-1541 Ph: (818) 401-8889 | Nicole Gershenson Marriage And Family Therapist Inc 5535 Balboa Blvd Ste 202 Encino CA 91316-1541 Ph: (818) 401-8889 |
NPI Number | 1538759527 |
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Provider Enumeration Date | 01/22/2021 |
Last Update Date | 01/22/2021 |
Certification Date | 01/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538759527 | NPI | - | NPPES |
95-2633765 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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