Individual
DR. LAUREL WIIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMFT
Contact information
Practice address
11145 TAMPA AVE STE 27A, PORTER RANCH, CA 91326-2274
(310) 774-1364
Mailing address
11145 TAMPA AVE STE 27A, PORTER RANCH, CA 91326-2274
(310) 774-1364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
42813
CA
Other
Enumeration date
09/28/2007
Last updated
03/24/2020
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