Organization
THERAPY WITH ROXANNA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA YASHOUAFAR ABOUDI LCSW (CEO/ OWNER)
(310) 384-5527
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, #444, ENCINO, CA 91436-1914
(310) 384-5527
Mailing address
16661 VENTURA BLVD, #444, ENCINO, CA 91436-1914
(310) 384-5527
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LCSW# 64161
CA
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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