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Organization

SOUTH BAY FAMILY COUNSELING CORP.

Active
Parent organization
SOUTH BAY FAMILY COUNSELING CORP.
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH BAY FAMILY COUNSELING CORP.
Authorized official
MEGAN HIGINBOTHAM PH.D. (OWNER)
(310) 713-5026
Entity
Organization

Contact information

Practice address
25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
(310) 713-5026
Mailing address
25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
(310) 713-5026

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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