Organization
PRAXIS: A PSYCHOTHERAPY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FORSELL LMFT (OWNER/OPERATOR/CLINICAL DIRECTOR)
(626) 578-5803
Entity
Organization
Contact information
Practice address
71 W SIERRA MADRE BLVD, SIERRA MADRE, CA 91024-2462
(626) 578-5803
Mailing address
71 W SIERRA MADRE BLVD, SIERRA MADRE, CA 91024-2462
(626) 578-5803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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