Individual
JANICE STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., R.A.S.
Contact information
Practice address
12304 SANTA MONICA BLVD, SUITE 200, WEST LOS ANGELES, CA 90025-2551
(310) 207-4322
(310) 207-6511
Mailing address
12304 SANTA MONICA BLVD STE 215A, WEST LOS ANGELES, CA 90025-2587
(310) 207-4322
(310) 207-6511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S0504101451
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
CA
Other
Enumeration date
05/23/2007
Last updated
03/27/2020
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