Individual
AJ R SHENEFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3809
(323) 999-2404
Mailing address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3809
(323) 999-2404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
07/21/2022
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