Organization
MIVEN TRAGESER, LA CHILD THERAPIST
Active
Other names
Miven Trageser, MFT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIVEN BOOTH TRAGESER LMFT, LPCC (PRINCIPAL)
(323) 813-8238
Entity
Organization
Contact information
Practice address
6310 SAN VICENTE BLVD STE 415, LOS ANGELES, CA 90048-5457
(323) 717-6803
Mailing address
6310 SAN VICENTE BLVD STE 415, LOS ANGELES, CA 90048-5457
(323) 717-6803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1339
CA
101YP2500X
Professional Counselor
Primary
1339
CA
106H00000X
Marriage & Family Therapist
49725
CA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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