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1982961108
JIM MICHAEL
WEST HOLLYWOOD, CA
NPI
1982961108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc46995)
Enumeration Date
2012-04-12
Last Update Date
2014-10-21
Business Address
-- JIM MICHAEL MFT
8235 SANTA MONICA BLVD STE 400
WEST HOLLYWOOD, CA 90046-5914
Phone number: 424-235-0614
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Mailing Address
-- JIM MICHAEL MFT
PO BOX 461884
LOS ANGELES, CA 90046-8884
Phone number: 323-527-8127
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