Individual
ANDRE SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
30 COUNTRY WOOD DR, POMONA, CA 91766-4818
(909) 623-3400
(909) 599-8223
Mailing address
701 W IMPERIAL HWY APT 512, LA HABRA, CA 90631-7055
(714) 928-9101
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
110053
CA
Other
Enumeration date
12/21/2018
Last updated
02/14/2022
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