Costromas Abercrombie
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1114510161
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1114510161
- Entity type
- Individual (NPI-1)
- Name
- Costromas Abercrombie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 101075 | CA | Yes |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000 · Fax 310-945-3356
Mailing address
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000 · Fax 310-945-3356
Other practice locations
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Culver City, CA 90232-6824
Phone 310-945-3350 · Fax 310-945-3356
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