| Wellspring Of Life Counseling Center, Inc. | |
|
2008 West Carson Street Suite 105 Torrance CA 90501 | |
| (310) 853-8023 | |
| (310) 853-8023 |
| Full Name | Wellspring Of Life Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2008 West Carson Street, Torrance, California |
| Authorized Official Name and Position | Bonni Funk (PRESIDENT) |
| Authorized Official Contact | 3108538023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Of Life Counseling Center, Inc. 4107 Mclaughlin Avenue Unit 9 Los Angeles CA 90066 Ph: (310) 853-8023 | Wellspring Of Life Counseling Center, Inc. 2008 West Carson Street Suite 105 Torrance CA 90501 Ph: (310) 853-8023 |
| NPI Number | 1912417999 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912417999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10028 (Florida) | Secondary |
| 101YP2500X | Counselor - Professional | LPCC1742 (California) | Primary |
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