Organization · Type 2 NPI

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Mental Health Counselor · Culver City, CA

NPI number 1902182785 Active

Practice location

6666 Green Valley Cir
Culver City, CA 90230-7068

Mailing address

1219 Beryl St
Redondo Beach, CA 90277-2438

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902182785

Share's National Provider Identifier is 1902182785, issued on Oct 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Culver City, CA. The record was last updated on Oct 25, 2011.