Individual
ANDREA ELIZABETH CANSECO-DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2677 ZOE AVE STE 120, HUNTINGTON PARK, CA 90255-6995
(323) 589-1902
(323) 589-1805
Mailing address
2677 ZOE AVE STE 120, HUNTINGTON PARK, CA 90255-6995
(323) 589-1902
(323) 589-1805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT85855
CA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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