Jesse Engdahl, LMFT
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982241089
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1982241089
- Entity type
- Individual (NPI-1)
- Name
- Jesse Engdahl
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT115705 | CA | Yes |
Practice location
2211 Corinth Ave Ste 201Los Angeles, CA 90064-1621
Phone 310-266-8269
Mailing address
1367 N Beverly DrBeverly Hills, CA 90210-2309
Phone 310-266-8269
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