Organization
AB FAMILY THERAPIST PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADA BATTISTA LMFT (PROVIDER)
(310) 402-0005
Entity
Organization
Contact information
Practice address
2530 WILSHIRE BLVD STE 300, SANTA MONICA, CA 90403-4659
(310) 402-0005
(310) 987-4655
Mailing address
2530 WILSHIRE BLVD STE 300, SANTA MONICA, CA 90403-4659
(310) 402-0005
(310) 987-4655
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821454240
PROVIDER
CA
Enumeration date
05/09/2022
Last updated
08/31/2024
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