Individual
CHARISSA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4021 BERRYMAN AVE, LOS ANGELES, CA 90066-5423
(310) 927-3331
Mailing address
4021 BERRYMAN AVE, LOS ANGELES, CA 90066-5423
(310) 927-3331
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
06322
CA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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