| Theresa Goldstein, Professional Clinical Cousnelor, P.c. | |
|
2615 Pch Hwy Ste 325 Hermosa Beach CA 90254-2236 | |
| (818) 806-8767 | |
| Not Available |
| Full Name | Theresa Goldstein, Professional Clinical Cousnelor, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2615 Pch Hwy Ste 325, Hermosa Beach, California |
| Authorized Official Name and Position | Theresa Goldstein (CEO, OWNER, SECRETARY, TREASURER) |
| Authorized Official Contact | 8188068767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Goldstein, Professional Clinical Cousnelor, P.c. 2615 Pch Hwy Ste 325 Hermosa Beach CA 90254-2236 Ph: (818) 806-8767 | Theresa Goldstein, Professional Clinical Cousnelor, P.c. 2615 Pch Hwy Ste 325 Hermosa Beach CA 90254-2236 Ph: (818) 806-8767 |
| NPI Number | 1982433801 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982433801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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