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Organization

ANTOINETTE DE LEON LICENSED MARRIAGE AND FAMILY THERAPIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOINETTE DE LEON LMFT (CEO)
(818) 421-7020
Entity
Organization

Contact information

Practice address
16060 VENTURA BLVD, UNIT 110 PMB 1012, ENCINO, CA 91436-4916
(818) 421-7020
Mailing address
4930 BALBOA BLVD #261054, ENCINO, CA 91426-7052
(818) 421-7020

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
03/28/2022
Last updated
06/05/2022
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