Justine Osborne
Counselor (Mental Health)

Address: 3206 Purdue Ave, Los Angeles, CA 90066-1320
Phone: 3109220022

Justine Osborne (NPI# 1194362525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1194362525
Entity Type Individual
Full Name Justine Osborne
Credential LMFT
Gender Female
Practice Address 3206 Purdue Ave
Los Angeles
CA 90066-1320
Practice Telephone 3109220022
Mailing Address 3206 Purdue Ave
Los Angeles
CA 90066-1320
Mailing Telephone 3109220022
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-12-04
Last Update Date 2019-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers 47400 CA

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 3206 PURDUE AVE
City LOS ANGELES
State CA
Zip Code 90066-1320

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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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