Individual
LIAM MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5445 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-4661
(818) 970-5204
Mailing address
5445 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-4661
(818) 761-2227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5841
CA
101YP2500X
Professional Counselor
Primary
5841
CA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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