Healthcare Provider Details

I. General information

NPI: 1649319989
Provider Name (Legal Business Name): AMALIE JOHANNA HOHN MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 WILSHIRE BLVD 500
LOS ANGELES CA
90057-4303
US

IV. Provider business mailing address

6249 CLEON AVE
NORTH HOLLYWOOD CA
91606-3813
US

V. Phone/Fax

Practice location:
  • Phone: 213-639-0219
  • Fax:
Mailing address:
  • Phone: 818-761-7046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number43756
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: