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Organization

STAGE OF LIFE COUNSELING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE DAHLEN LPCC (PRESIDENT-LPCC)
(310) 502-0164
Entity
Organization

Contact information

Practice address
23133 HAWTHORNE BLVD STE 207, TORRANCE, CA 90505-3729
(310) 502-0164
Mailing address
2390 CRENSHAW BLVD # 460, TORRANCE, CA 90501-3300
(310) 847-9084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPCC4827
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
05/08/2018
Last updated
09/13/2018
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