Individual
LEA NICOLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1002 ELKGROVE AVE, VENICE, CA 90291-3102
(818) 220-3856
Mailing address
1002 ELKGROVE AVE, VENICE, CA 90291-3102
(310) 612-2998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2022
Last updated
07/20/2026
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