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Organization
PARENTS ANONYMOUS INC.
Active
Organization
PARENTS ANONYMOUS INC.
Active
Other names
Parents Anonymous Antelope Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY RYAN KOZLOWSKI LMFT 162098 (SENIOR DIRECTOR OF MENTAL HEALTH SE)
(661) 418-2871
Entity
Organization
Contact information
Practice address
38345 EAST 30TH STREET SUITE C-2, PALMDALE, CA 93550
(661) 418-2871
Mailing address
435 YALE AVENUE, CLAREMONT, CA 91711-4340
(909) 575-4211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
05/22/2026
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