MIVEN TRAGESER, LA CHILD THERAPIST

LOS ANGELES, CA
NPI1104330547
Other NameMIVEN TRAGESER, MFT
Entity TypeOrganization
Authorized ContactMIVEN BOOTH TRAGESER
Principal
323-813-8238
Organization Subpart ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CA  1339)
Additional Taxonomies101Y00000X Counselor
(Licence: CA  1339)
106H00000X Marriage & Family Therapist
(Licence: CA  49725)
Enumeration Date2017-11-21
Last Update Date2017-11-21
Business Address
MIVEN TRAGESER, LA CHILD THERAPIST
6310 SAN VICENTE BLVD STE 415
LOS ANGELES, CA 90048-5457
Phone number: 323-717-6803
Mailing Address
MIVEN TRAGESER, LA CHILD THERAPIST
6310 SAN VICENTE BLVD STE 415
LOS ANGELES, CA 90048-5457
Phone number: 323-717-6803