Individual
MADISON MARIA MARASA-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6957 N FIGUEROA ST, LOS ANGELES, CA 90042-1245
(323) 443-3175
Mailing address
1191 HUNTINGTON DR, DUARTE, CA 91010-2400
(818) 269-6909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC16659
CA
Other
Enumeration date
03/05/2025
Last updated
04/01/2025
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