Individual
ANA LAURA MISKULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18623 GALE AVE, CITY OF INDUSTRY, CA 91748-1342
(626) 839-0300
Mailing address
PO BOX 434, CORONA, CA 92878-0434
(714) 869-6744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW70400
CA
Other
Enumeration date
03/01/2017
Last updated
12/19/2025
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