TIFFANY O'BANNON

LOS ANGELES, CA
NPI1528458817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  109685)
Enumeration Date2015-01-26
Last Update Date2019-03-22
Business Address
TIFFANY O'BANNON
515 COLUMBIA AVE
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
Mailing Address
TIFFANY O'BANNON
515 COLUMBIA AVE
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388