MALCOLM STANISLAUS

SIMI VALLEY, CA
NPI1841526357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  46059)
Enumeration Date2009-10-19
Last Update Date2009-10-19
Business Address
-- MALCOLM STANISLAUS lmft
1227 E LOS ANGELES AVE
SIMI VALLEY, CA 93065-2871
Phone number: 805-582-4075
Mailing Address
-- MALCOLM STANISLAUS lmft
PO BOX 940363
SIMI VALLEY, CA 93094-0363
Phone number: