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Provider Information for 1124234208


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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NATHALIE CONTRO LMFT


Sex: Female

NPI: 1124234208
Last Updated: 2022-03-22
Certification Date: 2022-03-22

Details

NameValue
NPI1124234208
Enumeration Date2007-05-15
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 425 WASHINGTON AVE APT 10
SANTA MONICA, CA 90403-3844
United States

Phone: 424-382-6630 | Fax:
 
Primary Practice Address 425 WASHINGTON AVE APT 10
SANTA MONICA, CA 90403-3844
United States

Phone: 424-382-6630 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist CA43555
Yes 106H00000X - Marriage & Family Therapist CA131775