| Bobbi Ebsen Psychotherapy Llc | |
|
453 S Spring St Ste 400 Los Angeles CA 90013-2074 | |
| (510) 391-4099 | |
| Not Available |
| Full Name | Bobbi Ebsen Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 453 S Spring St Ste 400, Los Angeles, California |
| Authorized Official Name and Position | Kristi Ebsen (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5103914099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi Ebsen Psychotherapy Llc 453 S Spring St Ste 400 Los Angeles CA 90013-2074 Ph: (510) 391-4099 | Bobbi Ebsen Psychotherapy Llc 453 S Spring St Ste 400 Los Angeles CA 90013-2074 Ph: (510) 391-4099 |
| NPI Number | 1689012379 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 04/03/2025 |
| Certification Date | 04/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689012379 | NPI | - | NPPES |
| MI6664 | Other | MI | MEDICARE GROUP |
| MI6664001 | Other | MI | MEDICARE INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085914 (Michigan) | Primary |
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