Individual
ANTOINETTE MARIE BURGONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 BUENA VISTA AVE, LA HABRA, CA 90631
(714) 330-2268
Mailing address
820 BUENA VISTA AVE, LA HABRA, CA 90631
(714) 330-2268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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