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Organization
RESILIENCY SHOPPE MARRIAGE AND FAMILY THERAPY INC
Active
Organization
RESILIENCY SHOPPE MARRIAGE AND FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RIVAS (CFO)
(818) 923-0717
Entity
Organization
Contact information
Practice address
520 S SEPULVEDA BLVD STE 409, LOS ANGELES, CA 90049-3547
(818) 564-7538
Mailing address
14622 VENTURA BLVD, SUITE 102 PMB 2029, SHERMAN OAKS, CA 91403
(818) 564-7538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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