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Organization
CAROL KELSON, PH.D., MARRIAGE AND FAMILY THERAPIST, INC.
Active
Organization
CAROL KELSON, PH.D., MARRIAGE AND FAMILY THERAPIST, INC.
Active
Other names
Advance Integrated Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL YASUKO KELSON PH.D., LMFT (OWNER)
(310) 909-4538
Entity
Organization
Contact information
Practice address
4221 WILSHIRE BLVD., SUITE 290-4, LOS ANGELES, CA 90010-3031
(310) 909-4538
Mailing address
4221 WILSHIRE BLVD., SUITE 290-4, LOS ANGELES, CA 90010-3031
(310) 909-4538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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