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Organization
VIDA THERAPY MARRIAGE FAMILY AND CHILD COUNCELING INC.
Active
Organization
VIDA THERAPY MARRIAGE FAMILY AND CHILD COUNCELING INC.
Active
Other names
Vida Therapy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ZEAHLOT A LOPEZ LMFT (CEO)
(818) 650-0255
Entity
Organization
Contact information
Practice address
15233 VENTURA BLVD STE 1208, SHERMAN OAKS, CA 91403-2271
(818) 650-0255
Mailing address
15233 VENTURA BLVD STE 1208, SHERMAN OAKS, CA 91403-2271
(818) 650-0255
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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