GENA DAWN PONTICELLI

LOS ANGELES, CA
NPI1265791081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  52862)
Enumeration Date2012-05-14
Last Update Date2014-01-10
Business Address
Ms. GENA DAWN PONTICELLI
1600 W IMPERIAL HWY
LOS ANGELES, CA 90047-4810
Phone number: 800-777-9311
Mailing Address
Ms. GENA DAWN PONTICELLI
1600 W IMPERIAL HWY
LOS ANGELES, CA 90047-4810
Phone number: