Most Relevant Information
Provider Data
| NPI Number: | 1003313032 |
| Provider Name: | CHARLES SCOTT DEWELL LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 103080 |
Most Important Dates
| Enumeration Date: | 04/06/2018 |
| Last Updated: | 04/06/2018 |
Provider Practice Location
3201 WILSHIRE BLVD STE 203
SANTA MONICA
CA
904032337
Practice Location Phone/Fax
| Phone: | 6263519616 |
| Fax: | 6263519493 |
Provider Mailing Location
650 SIERRA MADRE VILLA AVE STE 110
PASADENA
CA
911072040
Provider Mailing Phone/Fax
| Phone: | 6263519616 |
| Fax: | 6263519493 |