| KW Couples Therapy, LLC | |
|
400 Continental Blvd Fl 6 El Segundo CA 90245-5074 | |
| (310) 751-0389 | |
| Not Available |
| Full Name | KW Couples Therapy, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 400 Continental Blvd Fl 6, El Segundo, California |
| Authorized Official Name and Position | Kiaundra Jackson (CEO) |
| Authorized Official Contact | 3107510389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| KW Couples Therapy, LLC Po Box 7531 Long Beach CA 90807-0531 Ph: (310) 751-0389 | KW Couples Therapy, LLC 400 Continental Blvd Fl 6 El Segundo CA 90245-5074 Ph: (310) 751-0389 |
| NPI Number | 1497277552 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 07/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497277552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 100193 (California) | Primary |
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