Individual
AIDA JUDITH ENCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001
(626) 798-6793
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
93569
CA
Other
Enumeration date
03/12/2007
Last updated
01/17/2024
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