Individual
GEOFFREY MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-4134
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-4134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW88540
CA
Other
Enumeration date
09/18/2013
Last updated
04/24/2019
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