| Stone Marriage & Individual Therapy, Inc. | |
|
1720 Washington Way Venice CA 90291-4702 | |
| (310) 695-8958 | |
| Not Available |
| Full Name | Stone Marriage & Individual Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1720 Washington Way, Venice, California |
| Authorized Official Name and Position | Adela Stone (PRESIDENT) |
| Authorized Official Contact | 3106958958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Marriage & Individual Therapy, Inc. 578 Washington Blvd # 460 Marina Del Rey CA 90292-5421 Ph: () - | Stone Marriage & Individual Therapy, Inc. 1720 Washington Way Venice CA 90291-4702 Ph: (310) 695-8958 |
| NPI Number | 1740099134 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740099134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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