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NPI Code Detail

MEDICARE: DANNY HALOOSSIM THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION

MEDICARE: DANNY HALOOSSIM THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1962096479
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANNY HALOOSSIM THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
Provider Business Mailing Address
First Line : 6551 FOUNTAIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7824
Country : US
Telephone Number : 310-490-4662
Fax Number :
Provider Business Practice Location Address
First Line : 8702 SANTA MONICA BLVD
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-4508
Country : US
Telephone Number : 323-300-4403
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DANIEL HALOOSSIM
Credential : MA, LMFT, CGP
Telephone Number : 310-490-4662
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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Directions to “DANNY HALOOSSIM THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION ” Practice Location

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