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General NPI Number Information
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NPI Number | 1306990577
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Entity Type | Organization
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Legal Business Name | THE WILSHIRE COUNSELING CENTER, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 16250 VENTURA BLVD STE 465
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City | ENCINO
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State | CA
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Zip | 91436-4620
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Country | US
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Telephone | 818-906-0406
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Fax | 818-935-6204
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Provider Business Mailing Address
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Address Line | 16250 VENTURA BLVD STE 465
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City | ENCINO
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State | CA
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Zip | 91436-4620
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Country | US
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Telephone | 818-906-0406
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Fax | 818-935-6204
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATRINA WOOD
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Credential |
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Telephone | 818-906-0406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 17362
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License Number State | CA
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