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NPI Code Detail

MEDICARE: MS. YVONNE JANETTE CO LMFT 128802

MEDICARE: MS. YVONNE JANETTE CO LMFT 128802
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist128802CA

General Provider Information

NPI Number : 1023659083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YVONNE JANETTE CO LMFT 128802
Provider Business Mailing Address
First Line : 5731 W SLAUSON AVE STE 220
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6984
Country : US
Telephone Number : 888-085-1559
Fax Number : 888-231-5872
Provider Business Practice Location Address
First Line : 5731 W SLAUSON AVE STE 220
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6984
Country : US
Telephone Number : 888-851-5595
Fax Number : 888-231-5872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 11/30/2021

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Directions to “ MS. YVONNE JANETTE CO LMFT 128802” Practice Location

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