Individual
ANNA V MIKHAILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8220 SOUTH SAN PEDRO ST, LA, CA 90003
(323) 541-1221
Mailing address
8222 S SAN PEDRO ST, LOS ANGELES, CA 90003-3030
(323) 514-1221
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF47254
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMF47254
MFT INTERN
CA
Enumeration date
05/24/2007
Last updated
07/08/2007
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