Organization
LIVE FORWARD PSYCHOLOGICAL INC
Active
Other names
The Well Mind Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JENNICE VILHAUER PHD (DIRECTOR)
(424) 335-3529
Entity
Organization
Contact information
Practice address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(424) 335-3529
Mailing address
7119 W SUNSET BLVD # 919, LOS ANGELES, CA 90046-4411
(424) 335-3529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20105
CA
Other
Enumeration date
03/17/2013
Last updated
05/25/2024
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