Individual
MRS. ALLISON JILL CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 751-5439
Mailing address
288 OCHO RIOS WAY, OAK PARK, CA 91377-5539
(818) 585-6900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87884
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/06/2013
Last updated
01/18/2023
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