Jessica Swidryk
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1295035574
StatusActive
Last updated in NPPESDec 27, 2012
Details
- NPI
- 1295035574
- Entity type
- Individual (NPI-1)
- Name
- Jessica Swidryk
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2010
- Last updated
- Dec 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 47121 | CA | Yes |
Practice location
4160 Grand View BlvdLos Angeles, CA 90066-5214
Phone 310-751-1127
Mailing address
4160 Grand View BlvdLos Angeles, CA 90066-5214
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