Individual
HEIDI HOBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1305 WOODSTOCK RD, SAN MARINO, CA 91108-1061
(323) 222-1147
Mailing address
1305 WOODSTOCK RD, SAN MARINO, CA 91108-1061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADDTP 1475
CA
101YM0800X
Mental Health Counselor
CPRP #157294
—
101YP2500X
Professional Counselor
Primary
LPCC936
CA
221700000X
Art Therapist
ATCB#96-154
—
Other
Enumeration date
03/25/2014
Last updated
05/01/2015
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