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Organization
THRIVE PSYCHOLOGY GROUP
Active
Organization
THRIVE PSYCHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNN ANNE ODAHL PHD (OWNER)
(310) 893-1978
Entity
Organization
Contact information
Practice address
2510 MAIN ST STE 201, SANTA MONICA, CA 90405-3581
(310) 893-1978
Mailing address
5830 GREEN VALLEY CIR APT 201, CULVER CITY, CA 90230-6964
(415) 867-6640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
06/11/2019
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