CorpID/LocID

Practitioner List:

 THE TEEN PROJECT, INC., D.B.A. FREEHAB
 14530 Sylvan Street,
 Van Nuys, CA  91411

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
DAGMARLIEPA Physician (MD or DO) 1881742047G47889Medical Board of California (MD or DO)Yes
EDITHDARLING Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 166923967919363Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
RebeccaSmall Licensed Clinical Social Worker (LCSW) 1942796727105623Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
SallieKim Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1699550897152617Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
SallyMansour Licensed Clinical Social Worker (LCSW) 1922720440121558Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
STEPHENWINSTON Licensed Clinical Psychologist (LCP) 173020488414856California Board of Psychology (LCP)Yes