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Organization
BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA, INC.
Active
Organization
BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA, INC.
Active
Parent organization
BETHANY CHRISTIAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY CHRISTIAN SERVICES
Authorized official
JEFF CARLSON MFT (BRANCH DIRECTOR)
(714) 994-0500
Entity
Organization
Contact information
Practice address
16700 VALLEY VIEW AVE, SUITE 210, LA MIRADA, CA 90638-5830
(714) 994-0500
(714) 994-0515
Mailing address
16700 VALLEY VIEW AVE, SUITE 210, LA MIRADA, CA 90638-5830
(714) 994-0500
(714) 994-0515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC38441
CA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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