Organization
JACKIE KREITZMAN AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE KREITZMAN C.C.C. (OWNER)
(818) 705-6988
Entity
Organization
Contact information
Practice address
5567 RESEDA BLVD, SUITE 201, TARZANA, CA 91356-2674
(818) 705-6988
(818) 996-9339
Mailing address
5567 RESEDA BLVD, SUITE 201, TARZANA, CA 91356-2674
(818) 705-6988
(818) 996-9339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC 25692
CA
235Z00000X
Speech-Language Pathologist
Primary
SP 4063
CA
Other
Enumeration date
05/12/2010
Last updated
04/02/2014
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