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Organization
DMH HOLLYWOOD MENTAL HEALTH CLINIC
Active
Organization
DMH HOLLYWOOD MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL RUSSELL (MENTAL HEALTH COUNSELOR RN)
(323) 769-6100
Entity
Organization
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6100
Mailing address
957 E 118TH PL, LOS ANGELES, CA 90059-2818
(323) 564-4434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN 429150
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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