Individual
DR. JESSE LEIGH OLAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4650 SUNSET BLVD MS #53, LOS ANGELES, CA 90027
(323) 361-3849
Mailing address
9449 IMPERIAL HWY, STE A, DOWNEY, CA 90242-2814
(323) 361-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
30156
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
09/29/2008
Last updated
05/07/2019
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