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Organization
K&S THERAPEUTIC SERVICES, INC.
Active
Organization
K&S THERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESHIVA D DAVIS LMFT (PRESIDENT)
(310) 929-5519
Entity
Organization
Contact information
Practice address
4325 GLENCOE AVE STE 10082, MARINA DEL REY, CA 90292-6444
(310) 929-5519
(310) 388-1386
Mailing address
4325 GLENCOE AVE STE 10082, MARINA DEL REY, CA 90292-6444
(310) 929-5519
(109) 295-5193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW60100
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT52250
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
08/28/2015
Last updated
09/17/2024
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