Individual
KIANNA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Mailing address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14884
CA
101YP2500X
Professional Counselor
Primary
APCC14884
CA
Other
Enumeration date
10/26/2023
Last updated
08/20/2024
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