Blue Chair Foundation
NPI #1235974619 in Redondo Beach, California
Provider Information
- NPI Number
- 1235974619
- Entity Type
- Organization
- Organization Name
- Blue Chair Foundation
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jun 27, 2024
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 2512 ARTESIA BLVD STE 110
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90278-3265
- Phone
- (310) 974-0533
Authorized Official
- Name
- MRS. AMY M. CORNWALL, MS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (424) 350-8398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Psychologist |
| Psychologist - Clinical — Clinical |
| Psychologist - Counseling — Counseling |
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
| Social Worker |
| Social Worker - Clinical — Clinical |
| Assistant Behavior Analyst |
| Case Manager/Care Coordinator |
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Marriage & Family Therapist |
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| Jeshana Johnson | |
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