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Madeleine Shore
Professional Counselor in Los Angeles, California
NPI 1447902317

Madeleine Shore is a Professional Counselor based in Reseda, CA and is specialized in Professional. Madeleine Shore practices in Los Angeles, CA. The NPI Number for Madeleine Shore is 1447902317 and holds a License No. 10986 (California).

The current practice location address for Madeleine Shore is 11845 W Olympic Blvd Ste 1050W, Los Angeles, CA and can be reached out via phone at 424-330-2217.

Location: 11845 W Olympic Blvd Ste 1050W, Los Angeles, CA, 91335-4024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447902317
Provider Name
Madeleine Shore
Credential
Provider Entity Type
Individual
Gender
Female
Address
11845 W Olympic Blvd Ste 1050W, Los Angeles, CA, 91335-4024
Phone Number
424-330-2217
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11845 W Olympic Blvd Ste 1050W
City
Los Angeles
State
California
Zip
90064-5046
Phone Number
424-330-2217
Fax Number
person
Provider Business Mailing Address Details
Address
11845 W Olympic Blvd Ste 1050W
City
Los Angeles
State
California
Zip
90064-5046
Phone Number
424-330-2217
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
10986 (California)
Definition
Definition to come...
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