Provider Demographics
NPI:1467501585
Name:ROSENBERG, HELENA (MARRIAGE AND FAMILY)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MARRIAGE AND FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24445 HAWTHORNE BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6562
Mailing Address - Country:US
Mailing Address - Phone:310-373-6359
Mailing Address - Fax:310-372-2645
Practice Address - Street 1:24445 HAWTHORNE BLVD
Practice Address - Street 2:STE 105
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6562
Practice Address - Country:US
Practice Address - Phone:310-373-6359
Practice Address - Fax:310-372-2645
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist