Individual
DR. ANITA MILLICENT JASKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MFT
Contact information
Practice address
4316 RAINTREE CIR, CULVER CITY, CA 90230-4475
(310) 838-1937
Mailing address
4316 RAINTREE CIR, CULVER CITY, CA 90230-4475
(310) 838-1937
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 14005
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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