| Wilshire Counseling Valley Therapy Center | |
|
15720 Ventura Blvd Suite 600 Encino CA 91436-2914 | |
| (323) 651-5828 | |
| Not Available |
| Full Name | Wilshire Counseling Valley Therapy Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Katrina L. Wood (OWNER) |
| Authorized Official Contact | 8189060406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilshire Counseling Valley Therapy Center 15720 Ventura Blvd Suite 600 Encino CA 91436-2914 Ph: (323) 651-5828 | Wilshire Counseling Valley Therapy Center 15720 Ventura Blvd Suite 600 Encino CA 91436-2914 Ph: (323) 651-5828 |
| NPI Number | 1770838369 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770838369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17362 (California) | Primary |
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