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Organization
STAR VIEW
Active
Organization
STAR VIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE OLIVAS (HUMAN RESOURCES)
(310) 221-6336
Entity
Organization
Contact information
Practice address
370 CRENSHAW BLVD, SUITE E-100, TORRANCE, CA 90503-1727
(310) 787-1500
Mailing address
16507 S DALTON AVE, GARDENA, CA 90247-4741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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