Individual
ELANA MICHELLE JABLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23332 HAWTHORNE BLVD STE 304, TORRANCE, CA 90505-4457
(424) 215-1234
Mailing address
376 N SAN VICENTE BLVD, WEST HOLLYWOOD, CA 90048-1810
(310) 927-7229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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