# CAROL KELSON, PH.D., MARRIAGE AND FAMILY THERAPIST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Integrated Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245889906
- **Authorized official:** CAROL YASUKO KELSON PH.D., LMFT (OWNER)
- **Authorized official phone:** (310) 909-4538

## Contact information

- **Practice address:** 4221 WILSHIRE BLVD., SUITE 290-4, LOS ANGELES, CA 90010-3031
- **Practice address phone:** (310) 909-4538
- **Mailing address:** 4221 WILSHIRE BLVD., SUITE 290-4, LOS ANGELES, CA 90010-3031
- **Mailing address phone:** (310) 909-4538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2019
- **Last updated:** 09/05/2019