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Organization
SUPPORT PATH THERAPY
Active
Organization
SUPPORT PATH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANNE ORTEGA LCSW (OWNER/CEO)
(747) 272-9983
Entity
Organization
Contact information
Practice address
1359 SONORA AVE, GLENDALE, CA 91201-1411
(909) 263-4307
Mailing address
PO BOX 5794, 6444 SAN FERNANDO ROAD, GLENDALE, CA 91201
(747) 272-9983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/04/2023
Last updated
10/11/2023
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