Organization
8616 GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN BENNETT MFT (CLINICAL DIRECTOR)
(310) 288-1718
Entity
Organization
Contact information
Practice address
8616 LA TIJERA BLVD, SUITE 404, LOS ANGELES, CA 90045-3944
(310) 982-6062
Mailing address
8616 LA TIJERA BLVD, SUITE 404, LOS ANGELES, CA 90045-3944
(310) 982-6062
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT47879
CA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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