Organization
THRIVE FEARLESSLY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA TENNYSON (CRED)
(626) 469-1003
Entity
Organization
Contact information
Practice address
5700 ETIWANDA AVE UNIT 240, TARZANA, CA 91356-2543
(626) 469-1003
Mailing address
5700 ETIWANDA AVE UNIT 240, TARZANA, CA 91356-2543
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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