Individual provider · Type 1 NPI

Matt Lord

Mental Health Counselor · Santa Monica, CA

NPI number 1407065428 Active

Practice location

2701 Ocean Park Blvd Ste 150
Santa Monica, CA 90405-5219

Call (310) 392-5855 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407065428

Matt Lord's National Provider Identifier is 1407065428, issued on May 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2007.