Individual
ANDREA LARCO CANIZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27356 DEARBORN DR, VALENCIA, CA 91354-1870
(818) 900-2093
Mailing address
PO BOX 4971, CHATSWORTH, CA 91313-4971
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
101194
CA
Other
Enumeration date
11/07/2025
Last updated
11/19/2025
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