Basic Information
| Provider Information | |||||||||
| NPI: | 1841682994 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOPFEL | ||||||||
| FirstName: | MARY | ||||||||
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| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1306 W TEMPLE ST | ||||||||
| Address2: | UNIT 2 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900265654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159909240 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 PACIFIC COAST HIGHWAY | ||||||||
| Address2: | 200A | ||||||||
| City: | REDONDO BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103161610 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2015 | ||||||||
| LastUpdateDate: | 02/26/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 178.009912 | IL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.