Individual
MEGAN SOFIA MATAMOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Mailing address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7756
CA
101YP2500X
Professional Counselor
Primary
16127
CA
Other
Enumeration date
10/27/2021
Last updated
10/10/2024
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