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Organization
INTEGRATIVE PSYCHOTHERAPY CENTER
Active
Organization
INTEGRATIVE PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER EDWARD LATHY PSY.D., LMFT (DIRCTOR)
(213) 422-9929
Entity
Organization
Contact information
Practice address
1008 E 3RD ST APT 10, LONG BEACH, CA 90802-3442
(213) 422-9929
Mailing address
1008 E 3RD ST APT 10, LONG BEACH, CA 90802-3442
(213) 422-9929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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