Provider Demographics
NPI:1285648345
Name:LESS, ADRIENNE LISA (MA)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:LISA
Last Name:LESS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 SKYPARK DR STE 307
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5388
Mailing Address - Country:US
Mailing Address - Phone:310-874-8671
Mailing Address - Fax:310-798-7146
Practice Address - Street 1:2790 SKYPARK DR STE 307
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5388
Practice Address - Country:US
Practice Address - Phone:310-874-8671
Practice Address - Fax:310-798-7146
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36169106H00000X
CAMFC36169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist