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Individual

BEN GAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18050 VANOWEN ST, RESEDA, CA 91335-5638
(818) 888-4559
(818) 888-4005
Mailing address
18050 VANOWEN ST, RESEDA, CA 91335-5638
(818) 888-4559
(818) 888-4005

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT149176
CA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6758
CA
05
7068
CA
05
7420
CA
Enumeration date
04/16/2019
Last updated
02/10/2026
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