| Lotus Licensed Marriage And Family Therapy, Inc | |
|
12816 Inglewood Ave # 73 Hawthorne CA 90250-5118 | |
| (949) 229-0148 | |
| Not Available |
| Full Name | Lotus Licensed Marriage And Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12816 Inglewood Ave # 73, Hawthorne, California |
| Authorized Official Name and Position | Laura Nguyen Russo (PRESIDENT) |
| Authorized Official Contact | 9492290148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Licensed Marriage And Family Therapy, Inc 12816 Inglewood Ave # 73 Hawthorne CA 90250-5118 Ph: (949) 229-0148 | Lotus Licensed Marriage And Family Therapy, Inc 12816 Inglewood Ave # 73 Hawthorne CA 90250-5118 Ph: (949) 229-0148 |
| NPI Number | 1912615352 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912615352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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