Teugbyeolhan, Licensed Clinical Social Worker, Inc. | |
1611 S Pacific Coast Hwy Ste 205a Redondo Beach CA 90277-5611 | |
(626) 665-2557 | |
Not Available |
Full Name | Teugbyeolhan, Licensed Clinical Social Worker, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1611 S Pacific Coast Hwy Ste 205a, Redondo Beach, California |
Authorized Official Name and Position | Fonda Tokushige (CEO) |
Authorized Official Contact | 6266652557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Teugbyeolhan, Licensed Clinical Social Worker, Inc. 553 N Pacific Coast Hwy Ste 337b Redondo Beach CA 90277-2105 Ph: (626) 665-2557 | Teugbyeolhan, Licensed Clinical Social Worker, Inc. 1611 S Pacific Coast Hwy Ste 205a Redondo Beach CA 90277-5611 Ph: (626) 665-2557 |
NPI Number | 1770172371 |
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Provider Enumeration Date | 01/18/2021 |
Last Update Date | 01/18/2021 |
Certification Date | 01/18/2021 |
Identifier | Type | State | Issuer |
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1770172371 | NPI | - | NPPES |
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