ELISABETH CHRISTINE SUPAN

CYPRESS, CA
NPI1881110260
Other NameLIBBY CHRISTINE SUPAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  100638)
Enumeration Date2017-08-17
Last Update Date2018-03-17
Business Address
Ms. ELISABETH CHRISTINE SUPAN LMFT
6101 BALL RD
CYPRESS, CA 90630-3963
Phone number: 562-431-8822
Mailing Address
Ms. ELISABETH CHRISTINE SUPAN LMFT
2514 E 6TH ST APT C
LONG BEACH, CA 90814-7365
Phone number: 661-747-0810