Individual
MR. ANDREW ROBERT STEPHANOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MFT
Contact information
Practice address
9911 W PICO BLVD, SUITE 1480, LOS ANGELES, CA 90035-2703
(310) 422-4248
Mailing address
269 S BEVERLY DR, 216, BEVERLY HILLS, CA 90212-3851
(310) 422-4248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT#48634
CA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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