Provider Demographics
NPI:1023248267
Name:MICHEL, BEPPY ALBERS (MFT)
Entity type:Individual
Prefix:MS
First Name:BEPPY
Middle Name:ALBERS
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 DEEP VALLEY DR
Mailing Address - Street 2:SUITE #125
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3615
Mailing Address - Country:US
Mailing Address - Phone:424-477-6355
Mailing Address - Fax:310-544-3175
Practice Address - Street 1:655 DEEP VALLEY DR
Practice Address - Street 2:SUITE #125
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3615
Practice Address - Country:US
Practice Address - Phone:424-477-6355
Practice Address - Fax:310-544-3175
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist