Individual
CHARLIE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-8508
(209) 380-4952
Mailing address
8710 BELFORD AVE APT 226, LOS ANGELES, CA 90045-4575
(209) 380-4952
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32978
CA
Other
Enumeration date
08/02/2019
Last updated
12/29/2024
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