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Organization
INNER FREEDOM INDIVIDUAL, RELATIONSHIP, AND MARRIAGE COUNSELING CORP
Active
Organization
INNER FREEDOM INDIVIDUAL, RELATIONSHIP, AND MARRIAGE COUNSELING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRIVA ANN PONDER LMFT (OWNER)
(310) 993-8255
Entity
Organization
Contact information
Practice address
415 N CAMDEN DR STE 214, BEVERLY HILLS, CA 90210-4439
(310) 993-8255
Mailing address
9663 SANTA MONICA BLVD # 862, BEVERLY HILLS, CA 90210-4303
(310) 993-8255
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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