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Organization
CRYSTAL DAWN FAMILY THERAPY, PROF. CORP.
Active
Organization
CRYSTAL DAWN FAMILY THERAPY, PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL CUNNINGHAM LMFT (PRESIDENT/CEO)
(323) 207-5404
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(323) 207-5404
Mailing address
10209 LURLINE AVE UNIT C, CHATSWORTH, CA 91311-7730
(323) 207-5404
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
10/02/2023
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