Individual
MADISON HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27118 SILVER SPUR RD, ROLLING HILLS ESTATES, CA 90274-2300
(323) 744-1217
Mailing address
1653 7TH ST, PO BOX 1301, SANTA MONICA, CA 90401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19852
CA
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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