Individual
KULSUM WASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 90245-5602
(310) 856-0800
(855) 568-2494
Mailing address
100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 90245-5602
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20801
CA
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2024
Last updated
10/06/2025
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