CHARLES MATTHEW MORTENSEN

NORTHRIDGE, CA
NPI1801189998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  91935)
Enumeration Date2011-05-23
Last Update Date2016-05-20
Business Address
Mr. CHARLES MATTHEW MORTENSEN
9452 TEXHOMA AVENUE
NORTHRIDGE, CA 91325
Phone number: 818-521-0320
Mailing Address
Mr. CHARLES MATTHEW MORTENSEN
9452 TEXHOMA AVE
NORTHRIDGE, CA 91325-2333
Phone number: 818-521-0320
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