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Organization
WESTSIDE COUNSELING CENTER
Active
Organization
WESTSIDE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MATIAN SHOHAM PH.D. (OWNER)
(424) 341-2104
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD STE 385, LOS ANGELES, CA 90064-1639
(424) 341-2104
Mailing address
11340 W OLYMPIC BLVD STE 385, LOS ANGELES, CA 90064-1639
(424) 341-2104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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