MEDICARE: MRS. KAREN LEE KESSLER LCSW

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
1	1041C0700X	Clinical Social Worker	16571	CA

General Provider Information

NPI Number	:	1467489187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN LEE KESSLER LCSW

Provider Business Mailing Address
First Line	:	11150 W OLYMPIC BLVD STE 1050
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1850
Country	:	US
Telephone Number	:	424-253-8866
Fax Number	:

Provider Business Practice Location Address
First Line	:	11150 W OLYMPIC BLVD STE 1050
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1850
Country	:	US
Telephone Number	:	424-253-8866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	02/19/2024

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