| Wilshire Valley Therapy Center | |
|
6399 Wilshire Blvd Suite 312 Los Angeles CA 90048-5703 | |
| (323) 651-5828 | |
| (323) 651-5836 |
| Full Name | Wilshire Valley Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6399 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Katrina Wood (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3236515828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilshire Valley Therapy Center 6399 Wilshire Blvd Suite 312 Los Angeles CA 90048-5703 Ph: (323) 651-5828 | Wilshire Valley Therapy Center 6399 Wilshire Blvd Suite 312 Los Angeles CA 90048-5703 Ph: (323) 651-5828 |
| NPI Number | 1427386374 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427386374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 45064 (California) | Primary |
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