Individual
MS. ANGELA W AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14718 RUNNYMEDE ST, VAN NUYS, CA 91405-1813
(213) 219-2898
Mailing address
5870 MELROSE AVE STE 3-225, LOS ANGELES, CA 90038-3760
(213) 219-2898
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
112769
CA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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