Avetikova, Yelizaveta

Avetikova, Yelizaveta is an individual health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-2623. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Avetikova, Yelizaveta can be contacted via phone (310) 396-6468.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-2623
Phone: (310) 396-6468
Fax: (310) 392-8402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 93280 California

Profile Details

NPI number 1265608285
LBN Legal business name Avetikova, Yelizaveta
Credentials MPS, ATR, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jun 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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