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Individual

MRS. ANGELICA MARIE CHURCHIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11643 GLENOAKS BLVD, PACOIMA, CA 91331-1099
(310) 751-5408
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
125124
CA
106H00000X
Marriage & Family Therapist
CA

Other

Enumeration date
05/29/2019
Last updated
05/07/2021
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