Individual
BANNUPRIYA RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63021
CA
Other
Enumeration date
07/17/2014
Last updated
09/05/2014
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