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Organization
KOI MARRIAGE AND FAMILY THERAPY
Active
Organization
KOI MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MICHELLE TIZNADO (LMFT)
(626) 665-6653
Entity
Organization
Contact information
Practice address
640 S SUNSET AVE STE 105, WEST COVINA, CA 91790-2808
(626) 665-6653
Mailing address
640 S SUNSET AVE STE 105, WEST COVINA, CA 91790-2808
(626) 665-6653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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