| Mouchamel Family Therapy, Inc. | |
|
8834 Reseda Blvd # 1027 Northridge CA 91324-4039 | |
| (818) 900-5875 | |
| Not Available |
| Full Name | Mouchamel Family Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8834 Reseda Blvd # 1027, Northridge, California |
| Authorized Official Name and Position | Monique Mouchamel (OWNER) |
| Authorized Official Contact | 8189005875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouchamel Family Therapy, Inc. 8834 Reseda Blvd # 1027 Northridge CA 91324-4039 Ph: () - | Mouchamel Family Therapy, Inc. 8834 Reseda Blvd # 1027 Northridge CA 91324-4039 Ph: (818) 900-5875 |
| NPI Number | 1053921221 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053921221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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