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Organization
RUARK PSYCHOTHERAPY APC
Active
Organization
RUARK PSYCHOTHERAPY APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RUARK M.A., M.F.T. (PRESIDENT)
(310) 837-7979
Entity
Organization
Contact information
Practice address
3020 CASTLE HEIGHTS AVE, LOS ANGELES, CA 90034-2753
(310) 837-7979
Mailing address
9854 NATIONAL BLVD, SUITE 372, LOS ANGELES, CA 90034-2713
(310) 837-7979
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10329
CA
106H00000X
Marriage & Family Therapist
MFT34153
CA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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