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Individual

ALLISON MAE LANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LMFT

Contact information

Practice address
25096 JEFFERSON AVE STE C, MURRIETA, CA 92562-1706
(951) 268-0556
Mailing address
25096 JEFFERSON AVE STE C, MURRIETA, CA 92562-1706
(909) 224-2283

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53342
CA
106H00000X
Marriage & Family Therapist
64422
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386277135
NPI
CA
01
1780962043
NPI
CA
01
53342
BBS
CA
05
CA140083
CA
05
CB226559
CA
Enumeration date
08/03/2011
Last updated
07/03/2020
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