ANGELA KATHLEEN WALLACE

LOS ANGELES, CA
NPI1417452731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  45450)
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
ANGELA KATHLEEN WALLACE MFT #45450
554 S SAN VICENTE BLVD STE 200
LOS ANGELES, CA 90048-4651
Phone number: 310-862-4668
Mailing Address
ANGELA KATHLEEN WALLACE MFT #45450
554 S SAN VICENTE BLVD STE 200
LOS ANGELES, CA 90048-4651
Phone number: 310-862-4668