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Ab Family Therapist Professional Corporation

Marriage & Family Therapist in Santa Monica, CA. Organization (NPI-2).

NPI number1316683741
StatusActive
Last updated in NPPESAug 31, 2024

Details

NPI
1316683741
Entity type
Organization (NPI-2)
Legal business name
Ab Family Therapist Professional Corporation
Organization subpart
No
Enumeration date
May 9, 2022
Certification date
Aug 31, 2024
Last updated
Aug 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

2530 Wilshire Blvd Ste 300
Santa Monica, CA 90403-4659

Phone 310-402-0005 · Fax 310-987-4655

Mailing address

2530 Wilshire Blvd Ste 300
Santa Monica, CA 90403-4659

Phone 310-402-0005 · Fax 310-987-4655

Authorized official

Amada Battista
Provider
3104020005

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