# ANTOINETTE DE LEON LICENSED MARRIAGE AND FAMILY THERAPIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306596507
- **Authorized official:** ANTOINETTE DE LEON LMFT (CEO)
- **Authorized official phone:** (818) 421-7020

## Contact information

- **Practice address:** 16060 VENTURA BLVD, UNIT 110 PMB 1012, ENCINO, CA 91436-4916
- **Practice address phone:** (818) 421-7020
- **Mailing address:** 4930 BALBOA BLVD \#261054, ENCINO, CA 91426-7052
- **Mailing address phone:** (818) 421-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 06/05/2022