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Organization
JILL DONNERSTAG, MFT
Active
Organization
JILL DONNERSTAG, MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DONNERSTAG (MARRIAGE AND FAMILY THERAPIST)
(323) 620-0636
Entity
Organization
Contact information
Practice address
554 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4647
(323) 620-0636
Mailing address
554 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
03/03/2022
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