Individual
ANNA ATHANASOUILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15615 ALTON PKWY STE 230, IRVINE, CA 92618-7306
(949) 528-6300
Mailing address
15615 ALTON PKWY STE 230, IRVINE, CA 92618-7306
(949) 528-6300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
131079
CA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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