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Asa Maurice Anderson

Marriage & Family Therapist in Van Nuys, CA. Individual provider (NPI-1).

NPI number1215707690
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1215707690
Entity type
Individual (NPI-1)
Name
Asa Maurice Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2024
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist145728CAYes
106H00000X Marriage & Family Therapist––

Practice location

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289

Phone 818-908-4999

Mailing address

14624 Sherman Way Ste 508
Van Nuys, CA 91405-2289

Phone 818-901-4830

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