Individual
ASHLEY WIRE MAZIASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
16600 SHERMAN WAY STE 165, VAN NUYS, CA 91406-3733
(818) 386-1094
(818) 386-1182
Mailing address
3441 COUNTRY HAVEN CIR, THOUSAND OAKS, CA 91362-4964
(805) 573-3239
(818) 386-1182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106H00000X
Marriage & Family Therapist
49938
CA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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