Individual
MR. ANDREW KEVIN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT, APCC
Contact information
Practice address
25000 AVENUE STANFORD STE 167, VALENCIA, CA 91355-4596
(818) 600-2034
(661) 667-4477
Mailing address
7733 HAMPTON AVE APT 4, WEST HOLLYWOOD, CA 90046-4778
(310) 738-9565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15446
CA
106H00000X
Marriage & Family Therapist
Primary
143596
CA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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