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Matt Lord
Mental Health Counselor in Santa Monica, California
NPI 1407065428

Matt Lord is a Mental Health Counselor based in Santa Monica, CA and is specialized in Mental Health. Matt Lord practices in Santa Monica, CA. The NPI Number for Matt Lord is 1407065428 and holds a License No. (California).

The current practice location address for Matt Lord is 2701 Ocean Park Blvd Ste 150, Santa Monica, CA and can be reached out via phone at 310-392-5855.

Location: 2701 Ocean Park Blvd Ste 150, Santa Monica, CA, 90405-5219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407065428
Provider Name
Matt Lord
Credential
Provider Entity Type
Individual
Gender
Male
Address
2701 Ocean Park Blvd Ste 150, Santa Monica, CA, 90405-5219
Phone Number
310-392-5855
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2701 Ocean Park Blvd Ste 150
City
Santa Monica
State
California
Zip
90405-5219
Phone Number
310-392-5855
Fax Number
person
Provider Business Mailing Address Details
Address
2701 Ocean Park Blvd Ste 150
City
Santa Monica
State
California
Zip
90405-5219
Phone Number
310-392-5855
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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