Individual
AMELITA ELICANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.F.T.
Contact information
Practice address
14431 VENTURA BLVD, NUMBER 530, SHERMAN OAKS, CA 91423-2606
(818) 416-7947
Mailing address
14431 VENTURA BLVD, NUMBER 530, SHERMAN OAKS, CA 91423-2606
(818) 416-7947
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC27787
CA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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