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Organization
DIVERSIFIED PSYCHOTHERAPY INC
Active
Organization
DIVERSIFIED PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NAVA L.C.S.W. (OWNER)
(562) 743-2789
Entity
Organization
Contact information
Practice address
5199 E PACIFIC COAST HWY, SUITE 615, LONG BEACH, CA 90804-3302
(562) 743-2789
(562) 743-2789
Mailing address
PO BOX 191, LAKEWOOD, CA 90714-0191
(562) 743-2789
(562) 421-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 21160
CA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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