Individual
LACEY SIMONE BOOKSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT, APCC
Contact information
Practice address
9696 CULVER BLVD STE 303, CULVER CITY, CA 90232-2759
(424) 235-0209
Mailing address
PO BOX 25903, LOS ANGELES, CA 90025-0903
(424) 272-0969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC11978
CA
106H00000X
Marriage & Family Therapist
AMFT133844
CA
Other
Enumeration date
02/10/2023
Last updated
03/16/2023
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