Individual
BERNADINE GOUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
11905 S CENTRAL AVE, SUITE 205, LOS ANGELES, CA 90059-2836
(323) 249-9026
(323) 249-8367
Mailing address
942 E 116TH ST, LOS ANGELES, CA 90059-1602
(213) 280-1012
(323) 563-7087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4282
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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