Individual
BILEN TECLEMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 CRENSHAW BLVD, LOS ANGELES, CA 90043-1227
(323) 290-8360
Mailing address
3031 S VERMONT AVE, LOS ANGELES, CA 90007-3033
(323) 373-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95621
CA
106S00000X
Behavior Technician
RBT-19-74893
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
02/04/2019
Last updated
06/28/2021
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