Individual
KIAH AYNN CONDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2677 N MAIN ST STE 130, SANTA ANA, CA 92705-6665
(800) 801-9833
Mailing address
2677 N MAIN ST STE 110, SANTA ANA, CA 92705-6663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APCC11275
CA
101YP2500X
Professional Counselor
Primary
LPCC17222
CA
Other
Enumeration date
11/15/2021
Last updated
09/17/2024
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