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Organization
DONNA S BALTAS MFT AN INDIVIDUAL COUPLE AND FAMILY COUNSELING CORP
Active
Organization
DONNA S BALTAS MFT AN INDIVIDUAL COUPLE AND FAMILY COUNSELING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA S BALTAS MFC 41475 (PSYCHOTHERAPIST)
(310) 251-1658
Entity
Organization
Contact information
Practice address
415 NORTH CAMDEN DRIVE, SUITE 111, BEVERLY HILLS, CA 90210-4436
(310) 251-1658
Mailing address
415 NORTH CAMDEN DRIVE, SUITE 111, BEVERLY HILLS, CA 90210-4436
(310) 251-1658
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
41475
CA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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