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Organization
HOLLYWOOD FAMILY THERAPY, INC
Active
Organization
HOLLYWOOD FAMILY THERAPY, INC
Active
Other names
Hollywood Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON LEE LMFT (EXECUTIVE DIRECTOR)
(323) 741-0044
Entity
Organization
Contact information
Practice address
3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
(323) 741-0044
Mailing address
3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
(323) 741-0044
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
47482
CA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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