| Opalite Therapy | |
|
2232 Larch St Apt B Alhambra CA 91801-6509 | |
| (818) 861-9242 | |
| Not Available |
| Full Name | Opalite Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2232 Larch St Apt B, Alhambra, California |
| Authorized Official Name and Position | Nicole Cherry (OWNER) |
| Authorized Official Contact | 8188619242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opalite Therapy 2232 Larch St Apt B Alhambra CA 91801-6509 Ph: (323) 804-2577 | Opalite Therapy 2232 Larch St Apt B Alhambra CA 91801-6509 Ph: (818) 861-9242 |
| NPI Number | 1396572939 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396572939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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