| NPI | 1104175934 |
|---|---|
| Doing Business As | CLEAR SKIES THERAPY |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD COLTON Manager 310-943-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24275) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24275) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY24275) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY24275) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC51804) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC50844) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC79085) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2014-10-28 |