Connie Vaillancourt
NPI #1043777279 in Sierra Madre, California
Provider Information
- NPI Number
- 1043777279
- Entity Type
- Individual
- Name
- Connie Vaillancourt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Feb 24, 2019
- Last Updated
- Feb 24, 2019
Practice Location
- Address
- 49 S BALDWIN AVE STE E
- City
- Sierra Madre
- State
- California
- ZIP Code
- 91024-2583
- Phone
- (310) 981-7292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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