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General NPI Number Information
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NPI Number | 1528921210
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Entity Type | Organization
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Legal Business Name | EPIC FAMILY THERAPY, PC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 11835 W OLYMPIC BLVD STE 405
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City | LOS ANGELES
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State | CA
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Zip | 90064-5001
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Country | US
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Telephone | 310-684-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 11835 W OLYMPIC BLVD STE 405
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City | LOS ANGELES
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State | CA
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Zip | 90064-5001
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Country | US
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Telephone | 310-684-3134
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | JENNA LASKI
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Credential | LMFT
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Telephone | 310-795-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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