Most Relevant Information
Provider Data
| NPI Number: | 1003315698 |
| Provider Name: | AUTUMN GAEA WOODS M.A., AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 103679 |
Most Important Dates
| Enumeration Date: | 02/08/2018 |
| Last Updated: | 02/08/2018 |
Provider Practice Location
4620 HOLLYWOOD BLVD
LOS ANGELES
CA
900275408
Practice Location Phone/Fax
| Phone: | 8182455413 |
| Fax: |
Provider Mailing Location
2841 PARTRIDGE AVE
LOS ANGELES
CA
900392934
Provider Mailing Phone/Fax
| Phone: | 2133999507 |
| Fax: |