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Organization
DIALOGS WITH LIFE A MEDICAL CORPORATION
Active
Organization
DIALOGS WITH LIFE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD MARTIN DOUGLAS LMFT (PRESIDENT)
(213) 373-1938
Entity
Organization
Contact information
Practice address
1055 E COLORADO BLVD STE 5190, PASADENA, CA 91106-2327
(213) 373-1938
(213) 226-0556
Mailing address
465 S HUDSON AVE APT 1, PASADENA, CA 91101-5007
(213) 373-1938
(213) 226-0556
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102496
CA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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