Individual
ANTOINETTE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16060 VENTURA BLVD UNIT 110, PMB 1012, ENCINO, CA 91436
(818) 314-1329
Mailing address
PO BOX 261054, ENCINO, CA 91426-1054
(818) 314-1329
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
87288
CA
Other
Enumeration date
03/26/2020
Last updated
06/09/2022
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