Provider Demographics
NPI:1558560771
Name:KOVACS, HELEN MARIE (MA, MFT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:MARIE
Last Name:KOVACS
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 26TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-3042
Mailing Address - Country:US
Mailing Address - Phone:310-535-9925
Mailing Address - Fax:310-399-4913
Practice Address - Street 1:1452 26TH ST STE 106
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-3042
Practice Address - Country:US
Practice Address - Phone:310-535-9925
Practice Address - Fax:310-399-4913
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40940106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist