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Organization
SOUTH BAY FAMILY COUNSELING CORP.
Active
Organization
SOUTH BAY FAMILY COUNSELING CORP.
Active
Parent organization
SOUTH BAY FAMILY COUNSELING CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BAY FAMILY COUNSELING CORP.
Authorized official
MEGAN HIGINBOTHAM PH.D. (OWNER)
(310) 713-5026
Entity
Organization
Contact information
Practice address
25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
(310) 713-5026
Mailing address
25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
(310) 713-5026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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