Individual
ANGELIQUE POISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3205 OCEAN PARK BLVD STE 240, SANTA MONICA, CA 90405-3234
(424) 386-1612
Mailing address
PO BOX 3031, BEVERLY HILLS, CA 90212-0031
(612) 386-7629
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
103833
CA
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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