Organization
ISSUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN-WILLEM DIKKERS LMFT #139619 (PRESIDENT)
(310) 990-4908
Entity
Organization
Contact information
Practice address
841 SAYRE LN, LOS ANGELES, CA 90026-6206
(310) 990-4908
Mailing address
841 SAYRE LN, LOS ANGELES, CA 90026-6206
(310) 990-4908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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