| Thrive Fearlessly Counseling | |
|
5700 Etiwanda Ave Unit 240 Tarzana CA 91356-2543 | |
| (626) 469-1003 | |
| Not Available |
| Full Name | Thrive Fearlessly Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5700 Etiwanda Ave Unit 240, Tarzana, California |
| Authorized Official Name and Position | Jenna Tennyson (CRED) |
| Authorized Official Contact | 6264691003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Fearlessly Counseling 5700 Etiwanda Ave Unit 240 Tarzana CA 91356-2543 Ph: () - | Thrive Fearlessly Counseling 5700 Etiwanda Ave Unit 240 Tarzana CA 91356-2543 Ph: (626) 469-1003 |
| NPI Number | 1003673377 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003673377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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