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Organization
JOSER FOREVER
Active
Organization
JOSER FOREVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MALDONADO (OWNER)
(510) 283-7842
Entity
Organization
Contact information
Practice address
1436 S LA CIENEGA BLVD STE 203, LOS ANGELES, CA 90035-3761
(510) 283-7842
Mailing address
240 S RODEO DR, BEVERLY HILLS, CA 90212-3804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
11/21/2022
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