Individual
CHARRO BIJAN KENNEBRUEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-4525
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-4525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
APCC7330
CA
106H00000X
Marriage & Family Therapist
—
—
167G00000X
Licensed Psychiatric Technician
Primary
37712
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/04/2019
Last updated
01/05/2022
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