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NPI #1902182785 in Culver City, California
Provider Information
- NPI Number
- 1902182785
- Entity Type
- Organization
- Organization Name
- Share
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 25, 2011
- Last Updated
- Oct 25, 2011
Practice Location
- Address
- 6666 GREEN VALLEY CIR
- City
- Culver City
- State
- California
- ZIP Code
- 90230-7068
- Phone
- (310) 846-5270
Authorized Official
- Name
- MR. JOHN FRANK LUJAN
- Title
- COUNSELOR - MENTAL HEALTH
- Phone
- (310) 782-4701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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