Individual
JEFFERY PATRICK EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2728 W 54TH ST, LOS ANGELES, CA 90043-2644
(213) 500-1141
Mailing address
2728 W 54TH ST, LOS ANGELES, CA 90043-2644
(661) 238-6075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0200X
Forensic Psychologist
Primary
PSB94025816
CA
Other
Enumeration date
06/15/2021
Last updated
11/02/2021
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