Individual provider · Type 1 NPI

Madison Bottorff

Mental Health Counselor · Los Angeles, CA

NPI number 1497038285 Active

Practice location

4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1497038285

Madison Bottorff's National Provider Identifier is 1497038285, issued on Sep 28, 2011. 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 May 20, 2013.