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Individual

PAIGE JENNA CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC/LMHC

Contact information

Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
013937
NY
101YP2500X
Professional Counselor
Primary
21645
CA

Other

Enumeration date
02/28/2024
Last updated
02/23/2026
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