# BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BETHANY CHRISTIAN SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801233432
- **Legal business name:** BETHANY CHRISTIAN SERVICES
- **Authorized official:** JEFF CARLSON MFT (BRANCH DIRECTOR)
- **Authorized official phone:** (714) 994-0500

## Contact information

- **Practice address:** 16700 VALLEY VIEW AVE, SUITE 210, LA MIRADA, CA 90638-5830
- **Practice address phone:** (714) 994-0500
- **Practice address fax:** (714) 994-0515
- **Mailing address:** 16700 VALLEY VIEW AVE, SUITE 210, LA MIRADA, CA 90638-5830
- **Mailing address phone:** (714) 994-0500
- **Mailing address fax:** (714) 994-0515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC38441 | CA | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 05/22/2013