LETICIA ISABEL BANE

SAN DIEGO, CA
NPI1366911901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT130904)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  AMFT109919)
Enumeration Date2018-11-13
Last Update Date2023-08-07
Business Address
LETICIA ISABEL BANE
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
Mailing Address
LETICIA ISABEL BANE
1253 LORNA AVE
EL CAJON, CA 92020-7511
Phone number: 619-655-6364