ANDREY ANTONENKO

GARDEN GROVE, CA
NPI1912460536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  103610)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
ANDREY ANTONENKO AMFT
7281 GARDEN GROVE BLVD STE H
GARDEN GROVE, CA 92841-4212
Phone number: 714-460-3770
Mailing Address
ANDREY ANTONENKO AMFT
21 CALIFORNIA AVE APT 208
IRVINE, CA 92612-3051
Phone number: 714-460-3770