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Organization
ARBOL DE VIDA FAMILY COUNSELING SERVICE, PROFESSIONAL CORPORATION
Active
Organization
ARBOL DE VIDA FAMILY COUNSELING SERVICE, PROFESSIONAL CORPORATION
Active
Other names
ARBOL DE VIDA COUNSELING SERVICE, Arbol de Vida Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO PERAZA LMFT (PRESIDENT)
(818) 294-5733
Entity
Organization
Contact information
Practice address
4405 W RIVERSIDE DR STE 205, BURBANK, CA 91505-4050
(818) 294-5733
Mailing address
4405 W RIVERSIDE DR STE 205, BURBANK, CA 91505-4050
(818) 294-5733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/08/2026
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