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Organization
BIRDHAUS INDIVIDAUL & MARRIAGE COUNSELING, INC.
Active
Organization
BIRDHAUS INDIVIDAUL & MARRIAGE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN ROE (CREDENTIALING SPECIALIST)
(617) 674-3499
Entity
Organization
Contact information
Practice address
13400 RIVERSIDE DR STE 318, SHERMAN OAKS, CA 91423-2501
(323) 505-2473
Mailing address
13400 RIVERSIDE DR STE 318, SHERMAN OAKS, CA 91423-2501
(323) 505-2473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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