Kerry Glen Thorne, LMFT
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1245421981
StatusActive
Last updated in NPPESMay 25, 2018
Details
- NPI
- 1245421981
- Entity type
- Individual (NPI-1)
- Name
- Kerry Glen Thorne
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2007
- Last updated
- May 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 53652 | CA | Yes |
| 225400000X | Rehabilitation Practitioner | 52259 | CA |
Practice location
3374 Scarboro StLos Angeles, CA 90065
Phone 323-352-3811
Mailing address
3374 Scarboro StLos Angeles, CA 90065-2634
Phone 323-352-3811
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