Individual
CHRISTINA A WEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 204-1666
Mailing address
3707 COOLIDGE AVE, LOS ANGELES, CA 90066-3311
(310) 204-1666
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PENDING
CA
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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