ETHEL GANNON

LOS ALAMITOS, CA
NPI1528344504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC48157)
Enumeration Date2011-10-22
Last Update Date2011-10-22
Business Address
-- ETHEL GANNON
11110 LOS ALAMITOS BLVD STE 213
LOS ALAMITOS, CA 90720-3602
Phone number: 562-325-3899
Mailing Address
-- ETHEL GANNON
13531 RACELAND RD
LA MIRADA, CA 90638-2929
Phone number: 562-325-3899