Individual
MS. ANA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
(213) 304-1227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW78153
CA
101YP2500X
Professional Counselor
ASW78153
CA
1041C0700X
Clinical Social Worker
Primary
ASW117952
CA
1041C0700X
Clinical Social Worker
ASW78153
CA
Other
Enumeration date
06/10/2016
Last updated
10/24/2023
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