ILISSA BANHAZL

GLENDORA, CA
NPI1528891777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  44737)
Enumeration Date2024-08-22
Last Update Date2024-08-22
Business Address
ILISSA BANHAZL MFT
240 CRESCENT GLEN DR
GLENDORA, CA 91741-4016
Phone number: 626-664-5924
Mailing Address
ILISSA BANHAZL MFT
240 CRESCENT GLEN DR
GLENDORA, CA 91741-4016
Phone number: 626-664-5924
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