Casey Penn
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1255048872
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1255048872
- Entity type
- Individual (NPI-1)
- Name
- Casey Penn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 132934 | CA | Yes |
Practice location
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000
Mailing address
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000
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