Individual
JANE LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15320 S WILTON PL, GARDENA, CA 90249-4247
(213) 807-3358
Mailing address
PO BOX 925, MONROVIA, CA 91017-0925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11368
CA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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