Individual provider · Type 1 NPI

Leslie Jane Guinaugh Supkoff, MFT

Mental Health Counselor · Los Angeles, CA

NPI number 1124296280 Active

Practice location

554 S San Vicente Blvd Ste 102
Los Angeles, CA 90048-4652

Call (310) 663-4244 Map

Mailing address

251 N Swall Dr
Beverly Hills, CA 90211-1712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC 30843
Addiction (Substance Use Disorder) Counselor 101YA0400XMFC 30843 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1124296280

Leslie Jane Guinaugh Supkoff, MFT's National Provider Identifier is 1124296280, issued on Feb 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 12, 2008.