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Individual

ALLISON LEE BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11911 SAN VICENTE BLVD, SUITE 250, LOS ANGELES, CA 90049-5086
(424) 265-1552
Mailing address
869 VIA DE LA PAZ STE D, PACIFIC PALISADES, CA 90272-5236
(310) 741-1391

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90705
CA
106H00000X
Marriage & Family Therapist
MFTI 68112
CA
106H00000X
Marriage & Family Therapist
T1850
OR

Other

Enumeration date
08/30/2013
Last updated
01/04/2022
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