Individual
ANNIE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W OLYMPIC BLVD STE 627, LOS ANGELES, CA 90015-4135
(562) 380-2832
Mailing address
714 W OLYMPIC BLVD STE 627, LOS ANGELES, CA 90015-4135
(562) 380-2832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84468ACSW
CA
1041C0700X
Clinical Social Worker
Primary
106509LCSW
CA
Other
Enumeration date
06/21/2018
Last updated
09/05/2022
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