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Organization
TRACY BEVINGTON MFT
Active
Organization
TRACY BEVINGTON MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KOVACS BEVINGTON MA MFT (MARRIAGE & FAMILY THERAPIST)
(310) 226-2826
Entity
Organization
Contact information
Practice address
1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266-2494
(310) 226-2826
(310) 943-2590
Mailing address
1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266-2494
(310) 226-2826
(310) 943-2590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
53455
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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