Individual
ALYSSA J WIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ATR
Contact information
Practice address
9632 LOCKFORD ST, LOS ANGELES, CA 90035-2921
(310) 435-1430
Mailing address
9632 LOCKFORD ST, LOS ANGELES, CA 90035-2921
(310) 435-1430
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
52428
CA
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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