Individual
GLANEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12714 AVALON BLVD, SUITE 300, LOS ANGELES, CA 90061-2730
(323) 242-5000
(323) 242-6611
Mailing address
12714 AVALON BLVD, SUITE 300, LOS ANGELES, CA 90061-2730
(323) 242-5000
(323) 242-6611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
08/05/2008
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