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Organization
MIDWEST COUNSELING AND FAMILY SERVICES INC.
Active
Organization
MIDWEST COUNSELING AND FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KENDRA THEROITH LMFT (CLINICAL DIRECTOR)
(951) 364-4775
Entity
Organization
Contact information
Practice address
448 E FOOTHILL BLVD STE 210, SAN DIMAS, CA 91773-1221
(951) 364-4775
Mailing address
8605 SANTA MONICA BLVD # 98038, WEST HOLLYWOOD, CA 90069-4109
(951) 364-4775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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