| The Hollywood Therapist | |
|
7104 Franklin Ave Apt 12 West Hollywood CA 90046-3023 | |
| (619) 309-8291 | |
| Not Available |
| Full Name | The Hollywood Therapist |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7104 Franklin Ave Apt 12, West Hollywood, California |
| Authorized Official Name and Position | Jesse Hugh Hauck (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 6193098291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hollywood Therapist 7104 Franklin Ave Apt 12 West Hollywood CA 90046-3023 Ph: (619) 309-8291 | The Hollywood Therapist 7104 Franklin Ave Apt 12 West Hollywood CA 90046-3023 Ph: (619) 309-8291 |
| NPI Number | 1124493184 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124493184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 54004 (California) | Primary |
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