Individual
AMITA SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
Mailing address
1137 N CENTRAL AVE APT 1306, GLENDALE, CA 91202-3678
(818) 458-8011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18581
CA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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