Individual
ANGELA CHURCHILL ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
663 LILLIAN WAY, LOS ANGELES, CA 90004-1107
(323) 356-6940
Mailing address
648 LILLIAN WAY, LOS ANGELES, CA 90004-1108
(323) 462-6695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT100175
CA
Other
Enumeration date
11/20/2017
Last updated
03/17/2018
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