| Antoinette De Leon Licensed Marriage And Family Therapist Inc | |
|
16060 Ventura Blvd Unit 110 Pmb 1012 Encino CA 91436-4916 | |
| (818) 421-7020 | |
| Not Available |
| Full Name | Antoinette De Leon Licensed Marriage And Family Therapist Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16060 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Antoinette De Leon (CEO) |
| Authorized Official Contact | 8184217020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antoinette De Leon Licensed Marriage And Family Therapist Inc 4930 Balboa Blvd #261054 Encino CA 91426-7052 Ph: (818) 421-7020 | Antoinette De Leon Licensed Marriage And Family Therapist Inc 16060 Ventura Blvd Unit 110 Pmb 1012 Encino CA 91436-4916 Ph: (818) 421-7020 |
| NPI Number | 1306596507 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 06/05/2022 |
| Certification Date | 06/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306596507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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