Individual
ANA BERENICE FLORES AMBRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7268 DEL NORTE DR, GOLETA, CA 93117-1327
(805) 280-6651
Mailing address
7268 DEL NORTE DR, GOLETA, CA 93117-1327
(805) 280-6651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
103840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720394646
—
CA
Enumeration date
08/30/2010
Last updated
03/02/2021
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