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Organization
TEUGBYEOLHAN, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
TEUGBYEOLHAN, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Other names
TBH Therapy & Life Coaching Services
Organization subpart
No
Provider details
NPI number
Authorized official
FONDA TOKUSHIGE LCSW (CEO)
(424) 262-2454
Entity
Organization
Contact information
Practice address
1611 S PACIFIC COAST HWY STE 205A, REDONDO BEACH, CA 90277-5611
(626) 665-2557
Mailing address
553 N PACIFIC COAST HWY STE 337B, REDONDO BEACH, CA 90277-2105
(626) 665-2557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
06/03/2025
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