LEONARD WALLACE LANE

LOS ANGELES, CA
NPI1770095879
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  76583)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
Mr. LEONARD WALLACE LANE MFT Intern
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
Mailing Address
Mr. LEONARD WALLACE LANE MFT Intern
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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