Organization
GREEN DOT PUBLIC CORPERATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJA LEAH STOBAUGH LPCC 11615 (SCHOOL MENTAL HEALTH SUPERVISOR)
(775) 813-0108
Entity
Organization
Contact information
Practice address
820 BROADWAY ST, VENICE, CA 90291-3408
(310) 392-8751
Mailing address
2030 OCEAN PARK BLVD, SANTA MONICA, CA 90405-4914
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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