Individual
ANGELICA MARIA MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12810 HEACOCK ST STE B202, MORENO VALLEY, CA 92553-2873
(951) 247-6542
Mailing address
12810 HEACOCK ST STE B202, MORENO VALLEY, CA 92553-2873
(951) 247-6542
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
22998
CA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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