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Organization
ELLEN KIMMEL LICENSED CLINICAL SOCIAL WORKER INCORPORATED
Active
Organization
ELLEN KIMMEL LICENSED CLINICAL SOCIAL WORKER INCORPORATED
Active
Other names
Ellen Kimmel LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN R KIMMEL LCSW (PRESIDENT)
(323) 447-8372
Entity
Organization
Contact information
Practice address
1850 SAWTELLE BLVD STE 490, LOS ANGELES, CA 90025-7028
(323) 447-8372
Mailing address
1850 SAWTELLE BLVD STE 490, LOS ANGELES, CA 90025-7028
(323) 447-8372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11387
CA
101YP2500X
Professional Counselor
11387
CA
1041C0700X
Clinical Social Worker
Primary
11387
CA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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