Individual
AMERICA MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 E 6TH ST, LOS ANGELES, CA 90021-1026
(213) 623-8446
Mailing address
849 E 6TH ST, LOS ANGELES, CA 90021-1026
(213) 623-8446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4213
CA
106H00000X
Marriage & Family Therapist
Primary
101074
CA
Other
Enumeration date
05/02/2016
Last updated
08/20/2021
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