Organization
ASD CONSULTANCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKY PALMER M.S LMFT (CLINICAL DIRECTOR)
(562) 298-0603
Entity
Organization
Contact information
Practice address
4137 E 7TH ST, LONG BEACH, CA 90804-5311
(562) 433-7562
Mailing address
4137 E. 7TH ST, LONG BEACH, CA 90804-5311
(562) 433-7562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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