Kanisha Marie McReynolds
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982804571
StatusActive
Last updated in NPPESMar 6, 2014
Details
- NPI
- 1982804571
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kanisha Marie McReynolds
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2007
- Last updated
- Mar 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 53357 | CA | Yes |
Practice location
1200 Wilshire BlvdSuite 500
Los Angeles, CA 90017-1908
Phone 213-481-7464 · Fax 213-481-7147
Mailing address
1200 Wilshire BlvdSuite 500
Los Angeles, CA 90017-1908
Phone 213-481-7464 · Fax 213-481-7147
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