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Organization
BLUE CHAIR FAMILY THERAPY
Active
Organization
BLUE CHAIR FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M CORNWALL LMFT (CLINICAL THERAPIST/DIRECTOR)
(213) 379-6453
Entity
Organization
Contact information
Practice address
2512 ARTESIA BLVD STE 250F, REDONDO BEACH, CA 90278-5365
(424) 255-8483
Mailing address
2512 ARTESIA BLVD STE 250F, REDONDO BEACH, CA 90278-5365
(424) 255-8483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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