| Step Up On Second | |
|
1328 2nd St Santa Monica CA 90401-1122 | |
| (310) 394-6889 | |
| (310) 394-6883 |
| Full Name | Step Up On Second |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1328 2nd St, Santa Monica, California |
| Authorized Official Name and Position | Tod Lipka (CEO) |
| Authorized Official Contact | 3103946889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up On Second 1328 2nd St Santa Monica CA 90401-1122 Ph: (310) 394-6889 | Step Up On Second 1328 2nd St Santa Monica CA 90401-1122 Ph: (310) 394-6889 |
| NPI Number | 1578771044 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578771044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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