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1861222549
MICHAEL ENRIQUE BALLESTEROS
CERRITOS, CA
NPI
1861222549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT147936)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
MICHAEL ENRIQUE BALLESTEROS AMFT
10929 SOUTH ST STE 208B
CERRITOS, CA 90703-5368
Phone number: 562-924-5526
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Mailing Address
MICHAEL ENRIQUE BALLESTEROS AMFT
11518 TELEGRAPH RD STE 397
SANTA FE SPRINGS, CA 90670-3110
Phone number:
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