Courage To Change - A Marriage And Family Counseling Corportation in Santa Monica - Clinical
Courage To Change - A Marriage And Family Counseling Corportation - NPI 1952575631
Courage To Change - A Marriage And Family Counseling Corportation is a Clinical in Santa Monica, California. Courage To Change - A Marriage And Family Counseling Corportation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Courage To Change - A Marriage And Family Counseling Corportation is 1952575631. The last update date is 2008-04-15.
Courage To Change - A Marriage And Family Counseling Corportation's current location address is 3331 Ocean Park Blvd, Santa Monica, California. You can contact this provider via phone number 3106640454 and fax number 3105538743. The mailing address for Courage To Change - A Marriage And Family Counseling Corportation is 3331 Ocean Park Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Courage To Change - A Marriage And Family Counseling Corportation |
|---|---|
| Address | 3331 Ocean Park Blvd, Santa Monica, California |
| Phone Number | 3106640454 |
| Fax Number | 3105538743 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Zemansky R Tracy |
| Credentials | PSY |
| Telephone Number | 3106640454 |
NPI Number Detail
| NPI Number | 1952575631 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 3331 Ocean Park Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904053216 |
| Phone Number | 3106640454 |
| Fax Number | 3105538743 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY21760 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Courage To Change - A Marriage And Family Counseling Corportation's 1952575631?
The Courage To Change - A Marriage And Family Counseling Corportation's NPI (National Provider Identifier) Number is 1952575631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Courage To Change - A Marriage And Family Counseling Corportation is located?
The Courage To Change - A Marriage And Family Counseling Corportation is situated at the following address: 3331 Ocean Park Blvd, Santa Monica, CA, 904053216.
What is the Courage To Change - A Marriage And Family Counseling Corportation's specialty and taxonomy code?
The Courage To Change - A Marriage And Family Counseling Corportation's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952575631 to Courage To Change - A Marriage And Family Counseling Corportation?
The Courage To Change - A Marriage And Family Counseling Corportation received its 1952575631 assignment from the Centers for Medicare & Medicaid Services on 2008-04-15.
When was the information related to Courage To Change - A Marriage And Family Counseling Corportation most recently updated or refreshed?
The details pertaining to the Courage To Change - A Marriage And Family Counseling Corportation, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-15.
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