Individual
CHIQUANNA R. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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