Edahn M Small
Edahn M Small is a Marriage & Family Therapist in Tarzana, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
18663 Ventura Blvd Ste 300Tarzana, CA 91356-4161
Phone: (818) 963-9319
Fax: (818) 657-7440
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1710641139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 22, 2021 |
| Mailing address | 18663 Ventura Blvd Ste 300, Tarzana, CA 91356-4161 |
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