Individual
ANTOINETTE L NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PCCI3323
CA
106H00000X
Marriage & Family Therapist
Primary
IMF94765
CA
Other
Enumeration date
09/17/2008
Last updated
10/18/2016
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