Individual
ANDREA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12402 VENTURA BLVD FL 2, STUDIO CITY, CA 91604-2493
(818) 474-3441
Mailing address
PO BOX 17835, ENCINO, CA 91416-7835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC36487
CA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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