Provider Demographics
NPI:1922714195
Name:AURON, MEGAN M (LMFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:AURON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13149 PSOMAS WAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-2214
Mailing Address - Country:US
Mailing Address - Phone:323-391-4946
Mailing Address - Fax:
Practice Address - Street 1:2656 29TH ST STE 208
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-2947
Practice Address - Country:US
Practice Address - Phone:323-391-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105639106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist