Individual
ANIL VIRENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 W SIERRA MADRE BLVD STE 120, SIERRA MADRE, CA 91024-2496
(805) 991-7318
Mailing address
55 W SIERRA MADRE BLVD STE 120, SIERRA MADRE, CA 91024-2496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
147502
CA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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