Marika Katherine Dvorak
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1174802474
StatusActive
Last updated in NPPESApr 2, 2014
Details
- NPI
- 1174802474
- Entity type
- Individual (NPI-1)
- Name
- Marika Katherine Dvorak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2011
- Last updated
- Apr 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | AWS36306 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1910 Magnolia AveLos Angeles, CA 90007-1220
Phone 213-342-0100
Mailing address
1910 Magnolia AveLos Angeles, CA 90007-1220
Phone 213-342-0100
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