Individual
ALEXANDRIA MONY PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 216-2306
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT104767
CA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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