Individual
STACY SCATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
12240 VENICE BLVD STE 15A, LOS ANGELES, CA 90066-3891
(323) 813-6103
Mailing address
1525 N ALVARADO ST UNIT 26564, LOS ANGELES, CA 90026-7432
(323) 813-6103
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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