Individual
ANDREA VASSILEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 WILSHIRE BLVD, SANTA MONICA, CA 90403-2344
(310) 486-7842
Mailing address
3201 WILSHIRE BLVD, SANTA MONICA, CA 90403-2344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2019
Last updated
12/23/2023
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