Provider Information for 1568680569
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CHONDRELLE D CEZERE M.Ed, LPCC
Sex: Female
NPI: 1568680569
Last Updated: 2022-09-14
Certification Date: 2022-09-14
Certification Date: 2022-09-14
Details
Name | Value | ||||||||||||||||||||
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NPI | 1568680569 | ||||||||||||||||||||
Enumeration Date | 2007-04-23 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 11303 WILSHIRE BLVD LOS ANGELES, CA 90025-5069 United States Phone: 310-914-4045 | Fax: | ||||||||||||||||||||
Primary Practice Address | 3580 WILSHIRE BLVD STE 2000 LOS ANGELES, CA 90010-2533 United States Phone: 213-381-1250 | Fax:213-383-4803 | ||||||||||||||||||||
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