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Individual

CHANEL LEIBSOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
265 SOUTH RANDOLPH AVE STE 120, BREA, CA 92821
(818) 934-1152
Mailing address
7131 YORKTOWN AVE # 1067, HUNTINGTON BEACH, CA 92648-2464

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31246
CA

Other

Enumeration date
07/30/2019
Last updated
08/11/2023
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