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Organization
ADRIANNE AVERBUKH A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization
ADRIANNE AVERBUKH A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNE AVERBUKH (CEO)
(323) 200-4614
Entity
Organization
Contact information
Practice address
1714 IVAR AVE # D, LOS ANGELES, CA 90028-5124
(323) 471-3212
(323) 464-9161
Mailing address
1714 IVAR AVE # D, LOS ANGELES, CA 90028-5124
(323) 471-3212
(323) 464-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/13/2023
Last updated
10/19/2023
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