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Organization
EVELYN CO LICENSE MARRIAGE AND FAMILY THERAPIST INC
Active
Organization
EVELYN CO LICENSE MARRIAGE AND FAMILY THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN CO LMFT (CEO)
(323) 803-3131
Entity
Organization
Contact information
Practice address
13323 W WASHINGTON BLVD STE 200, LOS ANGELES, CA 90066-5163
(800) 803-4584
(800) 803-4584
Mailing address
15714 HALLDALE AVE APT B, GARDENA, CA 90247-3842
(800) 803-4584
(800) 803-4584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2024
Last updated
01/30/2024
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