Lotus Licensed Marriage and Family Therapy, INC
NPI #1912615352 in Hawthorne, California
Provider Information
- NPI Number
- 1912615352
- Entity Type
- Organization
- Organization Name
- Lotus Licensed Marriage and Family Therapy, INC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 14, 2022
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 12816 INGLEWOOD AVE # 73
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-5118
- Phone
- (949) 229-0148
Authorized Official
- Name
- LAURA NGUYEN RUSSO, LMFT
- Title
- PRESIDENT
- Phone
- (949) 229-0148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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