The Therapeutic Dojo Psychotherapy Services a Professional Licensed Cl
The Therapeutic Dojo Psychotherapy Services a Professional Licensed Cl is a Clinical Social Worker in Los Angeles, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1100 Wilshire Blvd Apt 2210Los Angeles, CA 90017-1951
Phone: (949) 993-8606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1336861517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanicia Trotter — Director · (949) 993-8604 |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
| Mailing address | Po Box 43, San Dimas, CA 91773-0043 |
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