| Stage Of Life Counseling Inc | |
|
23133 Hawthorne Blvd Ste 207 Torrance CA 90505-3729 | |
| (310) 502-0164 | |
| Not Available |
| Full Name | Stage Of Life Counseling Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23133 Hawthorne Blvd Ste 207, Torrance, California |
| Authorized Official Name and Position | Diane Dahlen (PRESIDENT-LPCC) |
| Authorized Official Contact | 3105020164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stage Of Life Counseling Inc 2390 Crenshaw Blvd # 460 Torrance CA 90501-3300 Ph: (310) 847-9084 | Stage Of Life Counseling Inc 23133 Hawthorne Blvd Ste 207 Torrance CA 90505-3729 Ph: (310) 502-0164 |
| NPI Number | 1174012827 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174012827 | NPI | - | NPPES |
| LPCC4827 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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