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LILLIAN MARIA AMENT MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1265604284

Individual Registrant:
 LILLIAN MARIA AMENT MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
3532 KATELLA AVE STE 221  LOS ALAMITOS, CA 90720-3159 US
Tel: 562-673-0242  Fax: --

Contact information for business:
3532 KATELLA AVE STE 221  LOS ALAMITOS, CA 90720-3159 US
Tel: 562-673-0242  Fax: --

Registration Information:
NPI: 1265604284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC 33051

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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