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Individual

ANGELINA ALIAV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, AMFT

Contact information

Practice address
11911 SAN VICENTE BLVD # 208, LOS ANGELES, CA 90049-5086
(818) 925-8559
Mailing address
18375 VENTURA BLVD # 360, TARZANA, CA 91356-4218
(818) 743-9498

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8174
CA
106H00000X
Marriage & Family Therapist
Primary
120339
CA

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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