Individual provider · Type 1 NPI

Lea Miriram Roussos, M.A.

Counselor · Santa Monica, CA

NPI number 1043484025 Active

Practice location

1460 7th St Ste 206
Santa Monica, CA 90401-2631

Call (800) 844-4545 Map

Fax (800) 844-4545

Mailing address

2118 Wilshire Blvd Ste 299
Santa Monica, CA 90403-5784

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMFC38398 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043484025

Lea Miriram Roussos, M.A.'s National Provider Identifier is 1043484025, issued on Apr 21, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 21, 2008.