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Organization
LAKE AVENUE COUNSELING CENTER
Active
Organization
LAKE AVENUE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TSEGAMLAK WORKU MFT (DIRECTOR OF COUNSELING)
(626) 786-1019
Entity
Organization
Contact information
Practice address
393 N LAKE AVE, PASADENA, CA 91101-1213
(626) 817-4888
(626) 817-4988
Mailing address
393 N LAKE AVE, PASADENA, CA 91101-1213
(626) 817-4888
(626) 786-4988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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