Organization · NPI-2

Acorn Family Guidance Center, A Professional Psychological Corporation

Community/Behavioral Health · Los Angeles, CA

NPI number1356880462
StatusActive
Last updated in NPPESFeb 22, 2017

Details

NPI
1356880462
Entity type
Organization (NPI-2)
Legal business name
Acorn Family Guidance Center, A Professional Psychological Corporation
Organization subpart
No
Enumeration date
Feb 22, 2017
Last updated
Feb 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthPSY28903CAYes

Practice location

12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles, CA 90066-7048

Phone 424-289-2725

Mailing address

12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles, CA 90066-7048

Phone 424-289-2725

Authorized official

Carin Laue
Clinical Child Psychologist
4242892725

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